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Get the free Return Second 24-Hour Urine Form - cscc unc

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This form is used to schedule and collect information for the return of a second 24-hour urine sample.
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How to fill out return second 24-hour urine

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How to fill out Return Second 24-Hour Urine Form

01
Start the collection period by emptying your bladder completely first thing in the morning.
02
Note the exact date and time you begin the collection.
03
Collect all urine for the next 24 hours in the provided container.
04
Keep the container refrigerated or on ice to preserve the sample.
05
End the collection period by emptying your bladder one last time at the exact same time the next day.
06
Record the total amount of urine collected on the form.
07
Fill in personal information, including name and identification details.
08
Review the form for accuracy before submission.

Who needs Return Second 24-Hour Urine Form?

01
Individuals undergoing kidney function tests.
02
Patients with suspected metabolic disorders.
03
Those being evaluated for conditions like dehydration or electrolyte imbalances.
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A 24-hour sample is needed: On day 1, urinate into the toilet when you get up in the morning. Afterward, collect all in a special container for the next 24 hours. On day 2, urinate into the container when you get up in the morning.
Write your start date and time and stop date and time here and on the label of the orange collection container. These times are needed for accurate test results. The stop time is 24 hours after the start time. For example, if you start at 7 am one day, your stop time is 7 am the next day.
Instructions: Empty your bladder into the toilet when you get up in the morning. For the remainder of the 24-hour period, collect all you pass and immediately add it to the special collection container. The test ends 24-hours from the first (uncollected) specimen the day before.
Write your start date and time and stop date and time here and on the label of the orange collection container. These times are needed for accurate test results. The stop time is 24 hours after the start time. For example, if you start at 7 am one day, your stop time is 7 am the next day.
Certain factors may affect the accuracy of a 24-hour collection. These include: Forgetting to collect some of your . Going beyond the 24-hour collection period and collecting too much .
Certain factors may affect the accuracy of a 24-hour collection. These include: Forgetting to collect some of your . Going beyond the 24-hour collection period and collecting too much .
If a bowl is used – inform nurse that you have provided a sample and they will collect the bowl from you and empty into the pot. If only pot is used – put the lid on the pot and wash your hands. 8. Label the pot clearly with your name, date and time of sample.

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The Return Second 24-Hour Urine Form is a document used to collect and report urine sample data over a 24-hour period for medical or testing purposes.
Individuals who are undergoing specific medical tests that require monitoring of renal function, electrolytes, or other substances in urine are typically required to file this form.
To fill out the form, users should accurately provide personal identification information, the duration of urine collection, any relevant medical history, and ensure all urine sample data is properly recorded throughout the 24-hour period.
The purpose of the form is to provide healthcare providers with detailed information on a patient's urine composition, which aids in the diagnosis, monitoring, and treatment of various health conditions.
The form typically requires reporting of the total volume of urine collected, specific gravity, various biochemical test results, and the time frame in which the collection occurred.
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