University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2020
Views:

291

Pages:

1
Author:

Alexa Livingston

ACTIVE LEARNING TEMPLATE: Diagnostic Procedure Creatinine PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure A creatinine test is used to see if your kidneys are working normally. It’ s often ordered along with another kidney test called blood urea nitrogen (BUN) or as part of a comprehensive metabolic panel (CMP). Indications Autoimmune diseases Bacterial infection of the kidneys Blocked urinary tract Heart failure Complications of diabetes Pregnancy Intense exercise A diet high in red meat Certain medications. Some medicines have side effects that raise creatinine levels. Interpretation of Findings Normal levels of creatinine in the blood are approximately 0.6-1.2 mg/dL. In adult males and 0.5-1.1 mg/dL in adult females. Potential Complications No risk CONSIDERATIONS Nursing Interventions (pre, intra, post) Supplies and equipment clean, dry container with lid, cotton ball, lab request form. Instruct the patient to use the cotton ball to clean urethral area thoroughly to prevent external bacteria from entering the specimen. Label the specimen container with patient identifying information, and send to the lab immediately. A delay in examining the specimen may cause a false result when bacterial determinations are to be made. Wash your hands and instruct the patient to do it was well. Note that the sample was collected. Client Education The test involves only normal cremation and there is no discomfort. A midstream crime specimen should be collected in a clean container. Discarding the first 200 mL of early morning voided urine is recommended. Women should clean the external genitalia (cleansing front to back) before voiding to avoid contamination with secretions. These directions help ensure a "clean catch" specimen. Nursing Interventions Empty client’ s bladder in the morning and flush that urine away. Record the time. For the next 24 hrs save all client’ s urine passed in the container provided. Return the sample container to the laboratory as instructed.