Flashcards in Urinary Disorders Deck (95)
Urinary Tract Infections (UTI)
inflammation of the sterile urinary tract caused by the introduction of bacteria most commonly through the urethra
Cystitis, Prostatitis, Urethritis
Pyelonephritis, Ureteritis, Renal Abscess
Is a lower or upper UTI more common?
What is an uncomplicated UTI?
-involves the normal urinary tract
-Healthy, non-pregnant young women
What is a complicated UTI?
Associated with a structural/functional abnormality of the urinary tract
-Pregnancy, men, catheters, diabetes, stones
Why are UTI's more common in women than men?
Females have a shorter urethra and there is a shorter distance b/t urethra and vagina/rectum
When does the risk for UTI's in males increase?
increases with age secondary to enlarging of the prostate
What are the major causes of UTI's?
-Deficiency of estrogen
-Condition leading to incomplete bladder emptying
How does Honeymoon cystitis cause a UTI?
-secondary to sexual activity
-introduces bacteria from the vagina to the urethra
How does pregnancy cause a UTI?
As the uterus enlarges it can lead to incomplete bladder emptying and urine in the bladder acts as a reservoir
How can diabetes cause a UTI?
-nerve damage to bladder
-Increased sugar in the urine
-urine goes down into the urethra and back into the bladder
-coughing, sneezing, squatting, voiding abruptly interrupted
What are two other causes of UTI's?
Urethrovesical and Ureterovesical Reflux
urine goes up into the ureters and back into the bladder
S/S of Cystitis (Lower UTI)
-Frequency -Suprapubic pain
-Burning with urination
S/S of Acute Pyelonephritis (Upper UTI)
Where would the patient experience flank/costovertebral pain?
B/t the 12th rib and costovertebral angle
*On your back where your kidneys sit
How would a UTI be diagnosed?
-Urine culture w/ Sensitivity
What would indicate a UTI after a Urinalysis?
-WBC's and RBC's >5
-Positive for Nitrites and Bacteria
What would indicate a UTI after a Urine Culture?
What tests are used specifically used for an Upper UTI (pyelonephritis)?
-Laboratory (BUN and Creatinine)
-Diagnostic (IV pyelogram)
What two antibiotics are commonly used for an UNcomplicated UTI and for how long?
Cipro or Levaquin
-3 day course
What antibiotics are commonly used for a COMPLICATED UTI and how long?
IV: Ancef, Rocephin, Maxipime, Cipro
Oral: Cipro, Keflex
-7-10 day course
What are additional treatments used for a UTI?
-Antiemetics for N/V
What are some precautions for bladder analgesics?
-Numbs bladder so you can NOT use it for more than 3-4 days
-Can mask worsening symptoms
-turns urine orange
What else can be done for a UTI?
-Increase fluid intake (8-10 8 oz glasses of water)
-High rate IV fluid
-Do NOT drink coffee, alcohol, aspartame
Do NOT smoke
What should you not take Cranberry juice/ supplements with?
When would Pyelonephritis require hospitalization?
-Symptomatic and complicated
-Unable to tolerate oral meds/fluids
-Sever uncontrollable pain