Analyse des urines

Analyse des urines  Objectifs

-         Dépistage et surveillance des pathologies les plus fréquentes

-         Surveillance d’un traitement 


-         Diagnostiquer  précoce ; détection de substances anormales dans les urines chez un patient ne se plaint de rien.

-         Diagnostic orienté

-         Au cours d’une grossesse

-         Avant certaine vaccination

-         Bilan d’entrée en service hospitalier

-         Prévention en médecine scolaire, du travail

-         La bandelette réactives

-         Elles Les bandelettes sont conditionnées dans un flacon à l’abris de la lumière.

-         Il faut les maintenir au sec, à l’abri de la chaleur

-         Vérifier la date de péremption

-         Les bandelettes sont constituées de plusieurs zones réactives différentes

-         Chaque zone correspond à un élément recherché (sang glucose corps cétonique…) elle réagit en changeant de couleur

-         E lecture se fait a l’aide de l’échelle inscrite sur le flacon ou automatiquement grâce à un Les bandelettes

-         Un récipient propre, bien rincé à l’eau claire bien sec.

-         Une trotteuse

-         Un flacon de bandelette réactives

-         Savon liquide et essuie-main à usage unique.


-         Se laver les mains

-         Faire pratique une toilette génitale.

-         Recueillir les urines au milieu de la miction

-         L’analyse se fait sur des urines fraîches émises.

-         Pendre une bandelette sans toucher les zones réactives.

-         La plonger et la retiré immédiatement de l’urine.

-         Tapoter la tranche de la bandelette sur le rebord du flacon pour éliminer l’urine résiduelle.

-         Tenir la bandelette horizontalement prés de l’échelle  colimetrique

-         Respecter les temps de lecteur indique.

-         La lecteur peut être automatique grâce à un réflectométrie.

-         Les résultats sont supprimés automatiquement avec signalisation des résultats anormaux.

-         Transmissions

-         La transmission orale à l’infirmière et écrite sur le dossier de soins

-         Anomalies

-         Résultat sur l’étiquette à insert dans le dossier

-         En cas de résultats anormaux le noter en rouge et bien prévenir l’infirmier

-         Présence de protéines (ou albumine) oriente vers l’existence de lésion rénale

-         La présence de corps cétoniques peut être la conséquence de vomissement prolonges du jeûnes excessif, d’un amaigrissement important. La présence de glucose dans les urine en même temps, peut évoque un diabète la équilibré

-         La présence de sang dans les urines oriente à une hématurie. les urines ne doivent pas contenir.

-         La présence leucocytes (G.B) oriente vers une infection urinaire 


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