PROCEDURE ON

URINE TESTING
SUGAR AND ALBUMIN

SUBMITTED TO SUBMITTED BY

Mrs.Lavanya Madam SK. Haseena Begum

Faculty M.Sc (N) I Year

Govt. College of Nursing Govt. College of Nursing

Hyderabad Hyderabad
 STUDENT PROFILE

Name of the student : SK Haseena Begum

Course : M.Sc (Nursing)

Class : 1st year

Subject : Nursing Foundation

Unit :

Topic : Urine Testing

Method of Teaching : Lecture cum Discussion

Group : B.Sc (Nursing) 1st year

Place & Date : B.Sc nursing 1st year classroom on 30/12/2023

Duration : 1 hour

A.V aids : OHP, Blackboard, Flashcards, PPT, Charts.

 OBJECTIVES

General objectives
By the end of the class Students. will be able to gain the knowledge Figari urine testing for albumin and
sugar.
Specific objectives
By the end of the class, students will be able to.
• Introduce about urine testing for albumin and sugar.
• Define the urine Best what you wear and Albumin.
• No, The purpose of urine testing for sugar and Albumin.
• Know the principles of urine testing.
• List out the indications of urine testing.
• Enlist the articles required for urine testing for sugar and albumin
• Know the procedure of urine testing for albumin and sugar.
Objectives Time Content Teaching and A.V aids Evaluation
learning activity.
Explain 1 min Introduction PPT
about the Albumin is a large molecular protein found in the
introduction blood. Under normal circumstances, it does not pass into
of Albumin the urine.
test in urine. If Albumin occurs in the urine, it Could indicate
Infection of the urinary tract, kidney damage, as in
Explain the nephritis and toxemia in pregnancy. Lecture cum discussion OHP What is
definition of Definition albuminemia?
albumin test 2min A urine for albumin test is a screening test to look
in urine. further presence of albumin in the urine. An albumin test
checks urine for a protein called albumin for urine. It
comprises testing urine for presence of albumin in urine is
known as Albuminemia
2min
Purpose:
✓ To test the urine for evidence of albumin. PPT
✓ To detect the presence of kidney damage that can
lead to kidney failure, requiring the patient undergo
Objectives Time Content Teaching and A.V aids Evaluation
learning activity.
dialysis.
Explain the ✓ To determine the level of albumin in the urine.
principles of
1min Principles: PPT
urine test
• All equipment must be clean. What are all
the
• When in doubt regarding results, perform a repeat
indications?
test. Lecture cum discussion
• Check to expiry of solution used.
Indications:
For patients who are suspected to suffer from
infection of urinary tract infection or kidney diseases.
For female patients who are suspected to suffer PPT
List the
from toxemia of pregnancy. indications?
Other symptoms of kidney diseases include
• Swelling the stomach and legs or around the eyes.
• Shortness of breath.
• Frequent need to urine at night.
• Itching the skin.
Objectives Time Content Teaching and A.V aids Evaluation
learning activity.
Articles
Spirit lamp.
Matchbox.
List out the 2min Test tube and holder.
articles Test tube stand. What are all
2% solution acetic acid. the articles?
Flash
Dropper. cards
Lecture cum
Specimen container. discussion

Duster.
Kidney tray.
Litmus paper to check the reaction of urine, acidity
and alkalinity
Clean gloves.
Procedure
Before procedure During procedure After procedure

Hot test Method Cold test Method

Objectives Time Content Teaching and A.V Evaluation
learning
aids
activity.
Steps. Rational.
Explain to the patient about the test to
be done and provide container for Obtains cooperation of
collecting urine. patient.
During procedure.
• Hot testing method.
Explain Lecture method Steps of
the • Cold testing method. and Lab
5min procedure?
procedure HOT TESTING METHOD demonstration

STEPS
✓ Done gloves.
✓ Fill the ¾ of a test tube with urine secure
test tube with holder at its top end. If the urine is highly
✓ check the reaction of urine. If it is alkaline or acidic it will give
alkaline, add one drop of acetic acid to false reading pH of urine
adjust the pH. should be. Adjusted before
conducting test.
Objectives Time Content Teaching and A.V Evaluation
learning aids
activity.
✓ Heat the upper third of urine Prevents scalding
over a spirit lamp and allow it to
boil keep the mouth of the test
tube away from face
✓ A cloud may appear either due Confirms the presence of
albumin
to phosphate or albumin
✓ Add 2 – 3 drops of acetic acid Normal urine does not
contain albumin.
into the test tube. If the urine
still remains cloudy it indicates
the presence of albumin

Interpretation of Hot test method to find albumin in urine

Objectives Time Content Teaching and A.V Evaluation
learning aids
activity.
Cold Method
Procedure
It involves dropping similar quantity of urine with dropper
gradually along the sides of test tube into a clean dry test tube
containing 2cc of nitric acid Explain the
Explain the
cold method 5min Inference: cold
Appearance of white cloudy ring at junction of urine and method?
acid shows presence of albumin Demonstration

Interpretation of cold test method

Objectives Time Content Teaching and A.V Evaluation
learning aids
activity.
AFTER PROCEDURE
Steps Rationale
Discard the urine and rinse the test Cleaning the test tube
tube and replace the articles and keeping ready
helps for the next use
Discard waste and wash hands Prevents cross infection
Record the procedure with date and Give the information
Lecture
time in nurses record or flow sheet about patients health method
according to hospital policy status Demonstration Explain
urine for
sugar

Explain the 4min URINE FOR SUGAR

urine test
for sugar Introduction
A glucose in urine test measures the amount of glucose in
urine test. Glucose is a type of sugar. It is our body’s main source
of energy. If too much glucose gets into blood, the extra glucose
will be eliminated through our urine. A urine glucose test can be
Objectives Time Content Teaching A.V Evaluation
and learning aids
activity.
used to help determine if blood glucose levels are too high which
may be sign of diabetes.
Definition
It involves testing a specimen of double voided urine using
benedict’s solution for presence of glucose.
Purpose
To estimate the amount of glucose present in urine
Principles
All equipment must be clean
✓ When in dought regarding result perform a repeat test
✓ Chek the expiry of solution used
Symptoms
✓ Fatigue
✓ Increased hunger
✓ Persistent infection
✓ Excessive thirst
✓ Frequent desire to urinate
Objectives Time Content Teaching A.V Evaluation
and aids
learning
activity.
✓ The feet or hands may experience tingling sensation or other
abnormal feelings
✓ Irritability
✓ Loss of weight without any known reason
✓ The wounds, cuts etc may be very slow to heal some times.
Indications
1. Diabetes mellitus
Diabetes – I and Diabetes – II
2. Gestational diabetes
3. Kidney disease – Oedema
Articles
Spirit lamp
Match box
Test tube with test tube holder
Test tube stand
Benedict solution
Objectives Time Content Teaching A.V Evaluation
and learning aids
activity.
Dropper
Duster
Kidney tray
Clean disposable glove
Procedure
Before procedure
Explain
procedure Nursing actions Rationale PPT
Lecture
3min ✓ Explain about method of Proper explanation method
collecting a double voided helps the patient to
specimen of urine collect specimen in a
✓ Provide labeled container correct manner
for collecting urine
✓ Don gloves and collect
urine specimen from Reduce risk of
patient contamination
✓ Take a test tube and fix in Benedict’s solution is
holder. Pour 5ml of used to find out
Objectives Time Content Teaching and A.V Evaluation
learning aids
activity.
Benedict’s solution into test tube presence of glucose in
✓ Light spirit lamp and heat urine
Benedict’s solution till it If the color of solution
boils. Hold test tube with changes upon heating,
mouth facing away from the it indicates that the
nurse add 8 drops of urine solution is not suitable
using dropper through the for testing
sides and allow to boil for
another few seconds
✓ Put off the flame and allow it Cooling completes it
to cool will change the color.
When glucose is
✓ Watch for color change and present in urine.
compare with standard color Normal urine does not
code contain sugar
Objectives Time Content Teaching A.V Evaluation
and aids
learning
activity.
Objectives Time Content Teaching and A.V aids Evaluation
learning
activity.
• Discard the urine in toilet room and rinse
container
• Replace the equipment after washing in proper
place Reduce risk of
transmission of
• Discard gloves and wash hands micro organism
• Record results in diabetes urine chart and inform
doctor for appropriate management/insulin order Recording the
reaction gives
information for
further
management
Objectives Time Content Teaching and A.V aids Evaluation
learning
activity.
SUMMARY
Urine testing for albumin and sugar
Till now we discussed regarding the urine testing for
sugar and albumin definition, purposes, principes,
articles, steps of procedure and after care and how to
record the results.
Conclusion
It is the test effective way to test urine for for
albumin and sugar to diagnostic purpose it is not
commonly used to diagnose the albuminemia.
Bibliography
1. The text book of trained nurses association of
india l – 17 florence nightingale
2. The text book of clinical nursing procedure the
art of nursing procedure