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68c Ph2 Exam7

Infectious Disorders of the Urinary Tract/ Urinary Obstruction

QuestionAnswer
What organism most commonly causes UTIs? Gram-negative bacteria e.g. E. Coli
what are some medical managements for a UTI? Medical management, Eliminate bacteria, Urinary antiseptics, Remove obstructions, intermittent catheterization
Which are some nursing intervention for preventing UTI? Cleanse the perineum, Void every 2 to 3 hours, Administer medication as prescribed, Provide adequate fluid intake
what are the Four classes of urinary antiseptics? -Quinolone (Nalidixic acid)... -Nitrofurantoin (Macrodantin)... -Methenamine (Mandelamine)... -Fluoroquinolone (Norfloxin/ Noroxin)
the two types of urethritis are.... 1. (NSU) Nonspecific urethritis (Candidiasis or Trichomonas infections) 2.Gonorrhea urethritis
infection more common in men? urethritis
during patient teach for urethritis, the nurse should include... Avoid sexual activity until the infection clears, take all medications as ordered, use condoms for protection to prevent reinfection
what is cystitis? inflammation of the wall of the urinary bladder.
common signs and symptoms assosiated with Cystitis? -Dysuria -urinary frequency -pyuria
who's first name in the 15-001 class is Medinitomj? Bautista.... :)
A cronic pelvic pain disorder with recurring discomfort or pain in the urinary bladder and surrounding region.... Interstitial Cystitis (IC)
what is Pyelonephritis? inflammation of the structures of the kidney (renal pelvis, renal tubules, and interstitial tissue
Pyelonephritis is almost always caused by ________ (what bacteria?) E. Coli
Who in the 15-001 class is from Montana? Hout!
what are some Clinical Manifestations of Pyelonephritis? -Chills, fever, and severe fatigue -Flank pain -AZOTEMIA
where will a patient with pyelonephritis feel pain? in the costovertebral angle (CVA)
the inflammation and/or infection of the prostate gland is called.......... prostatitis
Medical Management for prostatitis Broad-spectrum antibiotics for 4 to 16 weeks, Anti-inflammatories, Opioids
What is the duration of antibiotic therapy for a patient with prostatitis? 4 to 16 weeks
patient teaching for ACUTE prostatitis must included.... avoid sexual arousal and intercourse so the prostate can rest however, intercourse may be beneficial in the treatment of chronic prostatitis
what does BPH stand for? Benign Prostatic Hyperplasia. Its, an Age-associated prostate gland enlargement that can cause urination difficulty
who had right shoulder surgery from the 14-006, I mean 15-001 class? Hise! >.<
What causes a urinary obstruction? Structures,kinks, Cysts,tumors, Calculi BPH
Continued urge to void after voiding, Frequently voiding small amounts of urine, Pain- from dull flank through incapacitating pain, Nausea with pain, are all subjective data for__________ a urinary obstruction
what is the KUB diagnostic test used for in a suspected urinary obstruction? to identify size and location of obstruction
what is a Renal ultrasound and IVP used for in a suspected urinary obstruction? to Identify structural changes
When do patients with a urinary obstruction seek treatment? When urinating is difficult or painful.
what is Hydronephrosis ? -Dilation of the renal pelvis and calyces -Caused by an obstruction urinary tract -Pressure builds behind the obstruction -Renal pelvis and ureters dilate and hypertrophy -Prolonged pressure causes renal fibrosis and loss of function
What is the minimum urine output that patient's should maintain? 30ml/hour.
List conditions that predispose patients to the development of renal calculi. -Immobility. -Hyperparathyroidism. -Recurrent UTI. -Dehydration. -Excessive intake of vitamin D/milk products. -Osteoporosis.
disorder that includes Formation of urinary calculi in any area of the urinary tract? Urolithiasis .
Nephrolithiasis are kidney stones, where? in the minor and mayor calyces of the kidneys
Ureterolithiasis are kidney stones, where? in the ureter
clinical manifestation for cystolithiasis Hematuria, pain
What are three potential treatments for calculi of the renal system? Cystoscopy, Surgical removal, Chemolysis, or Extracorporeal shock wave lithotripsy (ESWL).
Created by: AEGO