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ADT Module 5-8 > UTI's > Flashcards

Flashcards in UTI's Deck (32)
1

A urinary infection is infection in the ___ either involving the ___ (cystitis), or the ___ (pyelonephritis).

urine, bladder, kidneys

2

For dx of UTI via midstream:
dx via catheterization:
dx via bladder aspirate:

> 100,000
> 1,000
any growth

3

Signs of ___ is indicative of a complicated ___ and requires aggressive ___ and follow-up.

pyelonephritis, UTI, tx

4

Short course antibx therapy is common in ___, but not in ___.

adults, children

5

UTI's can have serious complications in ___, the very ___ or ___, ___, or pt's who have abnormal ___ anatomy.

pregnancy, young, old, immunocompromised, GU

6

Urine cultures are not always necessary in ___ w/uncomplicated cystitis, but is in ___.

women, children

7

Kids are more likely to have ___ ___ ___ where urine refluxes back up the urethra.

vesicle urethral reflux (VUR)

8

___% of adult females have had one UTI. Sexually active women have about ___ UTI every ___ yrs.

50, 1, 2

9

___ are far less likely to develop a UTI d/t ___urethra.

men, longer

10

Invading ___ gain entry through the ___.

organisms, urethra

11

Bladder ___ is enhanced through ___ emptying and bacteriostatic uroepithelium.

sterility, complete

12

Symptoms of UTI in neonates/infant include: ___ feeding, ___, ___/___, ___, ___, ___ odor or ___ urine color, ___, ___.

poor, colicky, vomiting/diarrhea, lethargy, irritability, strong, dark, fever, fussy

13

Symptoms of UTI in toddler/child include: ___ appetite, ___, hold ___, new onset ___, ___, ___.

decreased, themselves, enuresis, frequency, dysuria

14

All ___ children ages ___-___ months w/out obvious site of infection should be evaluated for UTI.

febrile, 2-24

15

Urine from a child should be obtained via ___ tap or ___ catheterization. Dx of UTI cannot be established by a ___ of urine collected in a ___.

suprapubic, transurethral, cx, bag

16

VUR is more likely to occur in ___ gender and is ___ predominant.

female, familial

17

Recurrent UTI is more likely w/ ___.

VUR

18

Febrile infants ages ___-___ months w/UTI should have a ___ w/first UTI.

2-24, sonogram

19

Main causative agent for UTI's (children or adults) is ___.

E.coli

20

Risk factors for UTI's include:

sexual intercourse, spermicide-containing contraceptive, Hx of recurrent UTI's

21

Mainstay tx for UTI's is ___ for duration of ___ days.

trimethoprim/sulfamethoxazole (Bactrim), 3

22

Alternative antibx if allergy to sulfa's and PCN is ___.

nitrofurantoin (Dilantin)

23

Phenazopyridine (aka ___) can be used an ___ to relieve pain from a UTI, but is not a ___ tx for UTI and does not tx the UTI itself.

Uristat, analgesic, curative

24

Recurrent UTI's can occur in postmenopausal women d/t urinary ___, presence of a ___, postvoiding ___ urine.

incontinence, cystocele, residual

25

UTI prophylaxis is highly effective in preventing recurrent UTI's. Continuous prophylaxis is ___ use of antibx. Postcoital prophylaxis is used as a ___ dose following intercourse. Intermittent prophylaxis is used as a ___-course tx upon ___-dx.

continuous, single, short, self

26

Who is a candidate for prophlactic antibx therapy for UTI's? women w/> ___ UTI's per yr, pt's w/___ or ___, hx of ___ UTI.

3, stones, structural abnormalities, postcoital

27

Antibx options for tx'ing UTI's prophylactictly include:

nitrofurantoin, Co-trimoxazole DS, trimethoprim, ciprofloxacin

28

Long-term use of ___ can be associated w/pulmonary toxicity, chronic hepatitis, and neuropathy.

nitrofurantoin

29

Things that can result from antibx include: reduced efficacy of ___, ___ ___ infections, ___ diarrhea.

OCP's, candida vaginal, C-diff

30

Urinary tract ___ is one of the most significant anatomical alterations induced by ___.

dilation, pregnancy

31

Most pt's warrant tx prior to identification of ___.

bacteria

32

Medications to use for UTI in pregnancy:

amoxicillin, cephalosporin, nitrofurantoin