Doing an assignment...can someone help me??

Good job, Daytonite. But, I think the OP ...wanted a simplistic answer. Hope that other students reading this can find value in your hard work,

Hey all. :)

I am doing an assignment for school that is due tomorrow.

Basically here's what I have to do...

I have a set of lab values from a urinalysis. I have to take those lab values, analyze them, and then try to use those lab values along with the patient's complaints to figure out the following:

- What should be reported to the MD

- What other Hx is needed from the patient?

- What possible orders can be anticipated for this patient?

- What possible medical diagnoses are expected.

So.....Here's the info that I have from the urinalysis...

Color: Dark Amber

Character: Cloudy

USG 1.009

pH 6.9

(+) Protein

3+ Glucose

(+) WBC 1-3

(+) Bacteria (unspecified type)

(+) Casts

(+) Crystals

Pt. complains of dysuria, frequent urination with malaise, low grade fever.

So...I have to take that info and try to determine the 4 things above.

I am thinking along the lines of a diagnosis of Cystitis. Does that sound about right? What do you think?

If I can just figure out the right diagnosis, I can figure out the other stuff easily.

I'd appreciate the help. Thanks

I'd say UTI + DM

I really don't think she wants us to go THAT in depth. I mean, there's only so much info we can know at this point in the nursing program and we haven't even touched on Diabetes yet.

That's all good and well, but a lab value book or website will tell you that glycosuria is an indication of elevated blood sugar. Which, in turn, leads you to diabetes. If you google diabetes and UTI, which is your first hunch, you get several websites which support that theory. However, you need to then figure out what additional labs you would run to determine if the patient is in DKA and has a UTI, or if they're just a poorly controlled diabetic with a UTI. This can also come from google. Use your Google-fu, grasshopper.

Um, well...if that insult was directed at me...

I do very much want to learn and I appreciate Daytonite's information...it was VERY helpful!

It's not that I didn't want to learn, I just didn't want to make the assignment more complicated than it has to be.

She specifically told us in class to do this on our own and not to be putting a bunch of info in the assignment that we aren't supposed to know yet, b/c then she'll know that we got help and didn't do it on our own like we are supposed to.

I am in my 2nd month of LPN school. Right now we are going over A&P of body systems. We haven't even started Med-Surg yet. This assignment is about the urinary system. In my 2nd month of LPN school, there's no way I would know all of that information. Even in doing research, I just haven't learned enough in class yet to form that conclusion that Daytonite posted.

I very much appreciate the information, though, and it helped so much. Very helpful post.

I DO want to learn...I just didn't want to complicate the assignment...you see?

I don't see the need for a smart-assy reply or an insult. Just trying to complete the assignment based on what I have been taught in class thus far.

Um, well...if that insult was directed at me...

I do very much want to learn and I appreciate Daytonite's information...it was VERY helpful!

It's not that I didn't want to learn, I just didn't want to make the assignment more complicated than it has to be.

She specifically told us in class to do this on our own and not to be putting a bunch of info in the assignment that we aren't supposed to know yet, b/c then she'll know that we got help and didn't do it on our own like we are supposed to.

I am in my 2nd month of LPN school. Right now we are going over A&P of body systems. We haven't even started Med-Surg yet. This assignment is about the urinary system. In my 2nd month of LPN school, there's no way I would know all of that information. Even in doing research, I just haven't learned enough in class yet to form that conclusion that Daytonite posted.

I very much appreciate the information, though, and it helped so much. Very helpful post.

I DO want to learn...I just didn't want to complicate the assignment...you see?

I don't see the need for a smart-assy reply or an insult. Just trying to complete the assignment based on what I have been taught in class thus far.

You said, after my post, that you did not want complicated answers. That is why I acknowledge Daytonite's hard work as being beneficial for someone else.

I do have to question why you posted here if you were supposed to do this on your own? Also, please keep what you write on this board clean.

You said, after my post, that you did not want complicated answers. That is why I acknowledge Daytonite's hard work as being beneficial for someone else.

I do have to question why you posted here if you were supposed to do this on your own? Also, please keep what you write on this board clean.

I wasn't aware that my reply was "dirty"....but I'll try to keep that in mind.

I posted here because I know that there are a lot of people on here with much more experience than I have and I wanted to make sure I was on the right track.

As you could tell from my original post, I had already formed my own conclusion that this patient's diagnosis was likely Cystitis...based on my interpretation of the lab results and complaints.

So I had already down my own work, my own researching....all I wanted was some input from someone more experienced to let me know whether or not I was on the right track.

I wasn't looking for someone to give me the answer or do the work for me. Just a little guidance. I thought that was kind of the point of this forum???

I spent a great deal of time putting together an answer to this question to give the critical thinking that went into determining a diagnosis. Students need this.

I don't appreciate getting criticized for my efforts. I didn't need to be told that I gave too much information. To complete the assignment based on what has been taught in class so far, just use the information that is felt is needed and forget about the rest. There was no reason for anyone to criticize how I chose to answer this post, especially since I answered it by copying it and breaking it down piece by piece.

Daytonite you are AMAZING and I always appreciate your responses to the posts. I am not in NS yet but I like to read all of these posts because they do give me insight. And I especially appreciate the fact that you give you the reasons behind your answers. I have learned so much already just from your explanations!

THANK YOU!!!!!

Well I for one appreciated Daytonites efforts!!I'm certainly not a student but then we are never too old to learn!

Daytonite, your response was amazing....I always love reading them they are SO helpful to me in nursing school