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  • Chemstript Urinalysis Report Form - Roche Diagnostics

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ChemstripT Urinalysis Report Form Patient Name Patient ID# Date of Birth M F Physicians Name / / Collection Date Test Date / / Time Collected a.m. p.m. Operator ID# Testers Initials Physical Examination.

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Features. Chemstrip® Urine Test Strips are multiparameter visual reagent strips that are used to measure certain constituents in the urine. These measurements are useful in the evaluation of renal, urinary and metabolic disorders. Chemstrip® Urine Test Strips are clinically proven to resist vitamin C interference.

During a urinalysis, a clean urine sample is collected into a specimen cup and analyzed with a visual exam, a dipstick test, and a microscopic exam. The presence of cells, bacteria, and other chemicals is detected and measured in a urinalysis.

The top panel is testing for leukocytes and the bottom panel is testing for nitrites. If both pads are purple in color, this is a clear indicator that a UTI is most likely present.

Documenting the urinalysis results in the notes Document the time and date that the urinalysis was performed (as this may be significantly different from the time you are documenting). Write the indication for the urinalysis (e.g. dysuria). Inspect the urine and document the following characteristics of the urine:

ï‚°Hold the strip close to the color blocks on Chemstrip 10 container. ï‚°The strip handle should be held toward the top of the container. ï‚°Match the color of each pad to the color on the container to read results. ï‚°If a result is outside of normal range, or if you mistrust a result for any reason, repeat test.

The test is a firm plastic strip onto which Leukocyte and Nitrite test pads are attached. If the test is positive, the Leukocyte test pad should be beige to dark purple, and the Nitrite test pad should be uniform pink to red.

Either nitrites or leukocyte esterase — a product of white blood cells — in your urine might indicate a urinary tract infection. Blood. Blood in your urine requires additional testing. It may be a sign of kidney damage, infection, kidney or bladder stones, kidney or bladder cancer, or blood disorders.

Protein: Green indicates negative, blue indicates positive. pH value: Orange indicates a results of 6-6.5, green is a result of 7-7.5, blue/green is 8-8.5. Blood: Orange is negative, speckled is a trace to moderate reading, and green indicates positive.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232