UTI, Pyelo, ABX LECT Flashcards Preview

PCMIII Exam 2 > UTI, Pyelo, ABX LECT > Flashcards

Flashcards in UTI, Pyelo, ABX LECT Deck (21)
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1
Q

What is dysuria?

A

Any discomfort associated with urination

2
Q

What are predisposing factors for urethritis?

A

Frequent intercourse

Multiple partners

Inconsistent condom use

3
Q

What urine test is best to diagnose urethritis?

A

Antigen for GC and Chlamydia

***Risk of STI will not show on a standard urine dip

4
Q

What are predisposing factors to UTIs in women?

A

Use of spermicide

Frequent sexual intercourse

Diabetic women

Post-menopausal females

5
Q

What are predisposing factors to UTIs in men?

A

Prostatic hypertrophy

Non-circumcised

6
Q

What is asymptomatic bacteriuruia (ABU)?

A

Urine sample is obtained for another reason and shows bacteria on microscopic evaluation

7
Q

What is an uncomplicated UTI?

A

Non pregnant female

No anatomic abnormalities

No instrumentation of the urinary tract

8
Q

What is urethral instrumentation placed for?

A

Prevention of urinary retention and hydronephrosis

9
Q

Interstitial cystitis

aka?

A

Painful bladder syndrome

10
Q

Is interstitial cystitis chronic or acute?

A

chronic

11
Q

What is used to treat gonorrhea/chlamydia?

A

Ceftriaxone + Azithromycin

12
Q

What is used to treat chlamydia?

A

Azithromycin

or

Doxycycline

13
Q

What do use to treat cystitis?

A

Trimethoprim-Sulfamethoxazole

14
Q

What do you use to treat pyelonephritis?

A

Flurquinolone

15
Q

Symptoms associated with pyelonephritis?

A

Fevers/chills

Body aches esp back (flank) pain

Typically ascending from lower tract infection

Positive CVA tenderness

16
Q

Papillary necrosis can occur in:

A
  • Obstruction
  • DM
  • Sickle cell
  • Analgesic nephropathy
17
Q

What is emphysematous pyelonephritis?

A

Production of gas in nephric and perinephric area

ALMOST EXCLUSIVELY IN DIABETIC PTs

18
Q

What is xanthogranulomatous pyelonephritis?

A

Chronic obstruction

Chronic infection

Causes suppurative destruction of renal tissue

Can lead to abscess formation

19
Q

What is the difference b/w sepsis vs septic shock?

A

Sepsis = suspected or documented infection and an acute increase in organ failure

Septic shock= progressive organ dysfunction leading to marked increase in mortality

20
Q

How do you prevent recurrent UTIs?

A

Indicated if recurrent UTIs ar interfering w/ a patient’s lifestyle

Continuous antibiotic therapy, post-coital, patient-initiated

21
Q

What are some non-medicative UTI preventative strategies in women?

A

Empty bladder as soon as reasonable after intercourse

Wipe from front to back after toileting

Showers

Lactobacillus probiotics

Cranberry products

Vitamin C

Increased fluid intake