Just a question, URINE DIPSTICK/BLOOD

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Hello nurses,

 

This is for those who would like to help. I just want genuine people to answer.

When receiving a urine dipstick results back in a family medicine clinical setting! What do I do about blood. For example Blood 3 ERY/MicroL. All other things normal. She did end her period about 2 days prior to this blood work. I just want to know when do I need to do a full urinalysis and when I should be like the urine "looks good". If someone can explain this to me I would really appreciate you. I don't like to see these things and be panicked! thank you.

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Specializes in Peds ED.

That’s never a decision I’ve made as a bedside nurse. But with recent menstruation I wouldn’t be too concerned.

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45 minutes ago, HiddencatBSN said:

That’s never a decision I’ve made as a bedside nurse. But with recent menstruation I wouldn’t be too concerned.

I am not a bedside nurse. Advanced Practice Provider. Yes, makes sense in regards to recent menstrual. Thanks! 

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Duplicate threads merged.

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2 hours ago, TheFuture09 said:

Hello nurses,

 

This is for those who would like to help. I just want genuine people to answer.

When receiving a urine dipstick results back in a family medicine clinical setting! What do I do about blood. For example Blood 3 ERY/MicroL. All other things normal. She did end her period about 2 days prior to this blood work. I just want to know when do I need to do a full urinalysis and when I should be like the urine "looks good". If someone can explain this to me I would really appreciate you. I don't like to see these things and be panicked! thank you.

Can I also add an elevated Leukocytes , what level is to high on a urine dip that warrants a urinalysis? ie: Leukocyte of 75

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Specializes in Psych, Addictions, SOL (Student of Life).
15 hours ago, TheFuture09 said:

Can I also add an elevated Leukocytes , what level is to high on a urine dip that warrants a urinalysis? ie: Leukocyte of 75

Where I work (Psych) it is almost impossible to get a Clean Catch so our sample come back with bacteria, nitrites elevated WBC etc..... Our policy is to get history such as recent menstruation and any signs or Symptoms of UTI and let the PHysician decide what to do. Since you are advanced practice, your decision making will differ with ours. Perhaps set a protocol with the supervising physican and go from there.

Hppy

 

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Specializes in CVICU, MICU, Burn ICU.

Any amount of blood (even trace) in the urine deserves a urinalysis at minimum.  Yes, it could have been menstrual, so having her come back in (when farther removed from menses) and give a sample for UA is good practice.  If it is still there, work up your differentials....

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2 hours ago, WestCoastSunRN said:

Any amount of blood (even trace) in the urine deserves a urinalysis at minimum.  Yes, it could have been menstrual, so having her come back in (when farther removed from menses) and give a sample for UA is good practice.  If it is still there, work up your differentials....

Understood! So basically I should tell her to come back when her menses has completely cleared? I guess for me I panic sometimes when I see that and want to be more calm about it. 

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Specializes in Vascular Neurology and Neurocritical Care.

Download up-to-date or medscape apps. Good resources that will give you answers much faster than waiting for responses on a message board....

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I would always do the urine analysis.  If there is blood on the analysis,  recheck in a month (Or in her case 6 weeks so it isn't close to her period ?

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Good idea. Thanks for responding-I will def consider just doing urinalysis. What about Leukocyte of 75 and no symptoms. Or protein of 2+ ; when are you concerned about leukocytes and proteins?

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Specializes in Urology.

You need a urinalysis with Microscopy.  Consider referral to Urology if its >3rbc/hpf if not correlating with menstrual cycle.  

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