N/A
Characterize the symptom (onset, pace)
Ask the patient:
Have you had issues with your urine being tea colored in the past? Are you taking any new medications or vitamins? Is this a new or worsening symptom? When did it start or get worse? Has it developed gradually or suddenly?
Grade the symptom
Ask the patient:
When did your urine turn tea colored? Are you having any other urination issues?
Ask the patient:
Do you have any abdominal (belly) pain? Any nausea or vomiting? Any swelling? A fever? Are you vomiting? Are you feeling cloudy or confused? Have any muscle aches or weakness?
Consider the following in individualizing the intervention: Is the patient a good or poor historian? Any language barriers or cognitive deficits? Is the patient reliable (able to carry out treatment recommendations)? Does this patient have alcohol/substance abuse issues? Does the patient have transportation? Is there sufficient caregiver support?
Patients with other urinary or GI symptoms should be seen.
Patients with red-flag symptoms should be seen immediately.
[tab category='Hepatotoxicity' header="Hepatotoxicity - Nursing Assessment" tab1='Look' tab2='Listen' tab3='Recognize'][tab category='GI' header="GI Toxicity - Nursing Assessment" tab1='Look' tab2='Listen' tab3='Recognize']
Pain, muscle weakness, vomiting, confusion, tea-colored urine
What do you suspect is the cause of tea-colored urine?