Susan Patti Posted November 12, 2009 Share Posted November 12, 2009 Do you spin the urine for post transfusion reactions workups? The sixteenth edition of the Technical Manual does not state this specifically.Thank youSusan Patti Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 12, 2009 Share Posted November 12, 2009 Do you spin the urine for post transfusion reactions workups? The sixteenth edition of the Technical Manual does not state this specifically.Thank youSusan PattiYou should, otherwise haematuria can be mistaken for haemoglobinuria. Link to comment Share on other sites More sharing options...
Susan Patti Posted November 12, 2009 Author Share Posted November 12, 2009 We always have spun them. I was surprised this information is missing from 16th Edition. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 12, 2009 Share Posted November 12, 2009 We always have spun them. I was surprised this information is missing from 16th Edition.In a way, it sort of is there (page 723)"Free hemoglobin in the urine is indicative of intravascular hemolysis. Hematuria, or intact red cells in urine, and myoglobinuria both have other causes."It is tacit, I fully admit, but the only way you are going to tell the difference is by centrifuging the urine (but it could be a lot clearer)!:rolleyes: Link to comment Share on other sites More sharing options...
John C. Staley Posted November 12, 2009 Share Posted November 12, 2009 I would spin it for Microscopic Exam only if the dip stick was positive for blood. No sense in looking for something under the scope when there is no indication from the dip stick that it is there. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted November 12, 2009 Share Posted November 12, 2009 I would spin it for Microscopic Exam only if the dip stick was positive for blood. No sense in looking for something under the scope when there is no indication from the dip stick that it is there.Fair comment John.I was assuming that the urine was pink/red and that one couldn't tell whether it was haematuria or haemoglobinuria. Link to comment Share on other sites More sharing options...
cmelloh Posted August 5, 2010 Share Posted August 5, 2010 We use a Iris urinalysis analyzer. If the dipstick is positive for blood then the sample is aspirated by another part of the instrument, passed through a flow cell and digital pictures taken for the tech to review. Beats spinning them. Link to comment Share on other sites More sharing options...
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