UTI-kidney

Question 1

What labs ranked for looking at kidney function?

Answer 1

1. GFR
2. Cretitine
3. BUN

Question 2

If there is kidney damage what are we going to see in UA?
Glomerular nephritis?
Pyelonephritis?

Answer 2

Casts: (possible referral)

red blood cell cast= Glomerular
white blood cells cast = Pyelo

Question 3

+ nitrate and Leukocyetes on UA. burning and frequent

Answer 3

UTI
Macrobid- nitrofurantoin monohydrate, Bactrim-sulfamethoxazole/trimethoprim. Cipro
do a C & S and match it

Question 4

If they have UTI and on warfarin do not give?

Answer 4

Bactrim-sulfamethoxazole/trimethoprim.

Question 5

What if they have had heel pain in the past with an abx which abx do we stay away from for a UTI?

Answer 5

cipro (fluoroquinolones) at risk for tendon rupture/ increased lactic acid
Edu pt to report heel pain or tendon pain

Question 6

What abx do you give for pregnant pt?

Answer 6

Amoxicillin and Augmentin if C & S to it