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.

17 hours ago, TheFuture09 said:

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?

Our leukocyte are 1 +, 2+ , 3+.  I generally correlate this to the WBC and their symptoms when deciding whether to treat.    For proteinuria I recheck in a few weeks.  if persistent I consider neph consult.

 

10 hours ago, twozer0 said:

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

Nailed it on the head! I agree.

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