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Urinary tract and bd

QuestionAnswer
Common Urinary tract conditions Acute urinary tract infections bladder spasm bladder pain benign prostatic hypertrophy (BPH)
Urinary Tract Anti-infectives Acidify urine, killing bacteria Antibiotics
Urinary Tract Anti-infectives Acidify urine, killing bacteria dtugs Methnamine Methylene blue
Urinary tract anti-infectives antibiotic drugs cinoxacon norfloxacin nitrofurantoin ciproflaxacin cotrimoxazole
Urinary Tract anti-infectives therapeutic effects destroy bacteria interfere with gram negative bacterial reproduction acidify urine
Urinary Tract anti-infectives PK oral route metabolized in urine, excreted in urine
Urinary Tract anti-infectives contraindications renal dysfuncion P/L
Urinary Tract anti-infectives AEs N/V/D Anorexia bladder irritaion dysuria
Urinary Tract anti-infectives Drug to drug vary based on drug choice
Urinary Tract anti-infectives nursing consideration labs: UA and culture, renal and liver function Ensure UA sent before atbx full course of drug fluids avoid citrus juice proper peri care
Urinary Antispasmodics medication flavoxate oxybutynin telterodine
Urinary Antispasmodics therapeutic action block parasympathetic action anticholinergic spasms due to bladder infections neurogenic or overactive bladder
Urinary Antispasmodics PK oral, topical and dermal use metabolized in liver, excreted in urine
Urinary Antispasmodics contraindications pyloric/duodenal obstruction Obstructive urinary issues glaucoma, myathenia gravis renal/hepatic dysfunction P/L
Urinary Antispasmodics AEs anticholinergic effects constipation dry mouth drowsiness blurred vision
Urinary Antispasmodics drug to drug interactions phenothiazines haloperidol antifungals
Urinary Antispasmodics nursing considerations labs: renal and liver function ensure UA sent to rule out infection treach patient to change oxybutin patch to change every 4 days
Urinary tract analgesic medication phenazopyridine
Urinary tract analgesic therapeutic effect topical analgesic to urinary mucose relieves urinary tract pain related to UTI
Urinary tract analgesic PK oral route metabolized in liver excreted in urine
Urinary tract analgesic contraindications renal dysfunction P/L
Urinary tract analgesic AEs GI upset HA Rash Disclosed urine Using longer than 2 days casues toxicity
Urinary tract analgesic drug to drug antibacterials
Urinary tract analgesic nursing considerations labs: UA and culture, renal and liver function Ensure UTI treatment May give with food alert pt urine may stain fabrics
bladder protectants medications pentosan polysulfate sodium
bladder protectants therapeutic effects protects bladder mucosal wall from irritaion used in chronic interstitial cystitis has antichoagulant/fibrilytic effect
bladder protectants PK minimal absorption distributed in GI tract, liver, spleen, skin, bone marrow excreted in urine
bladder protectants contraindication increased risk for bleeding HIT syndrome Hepatic or splenic disorders P/L
bladder protectants AEs Bleeding GI upset HA
bladder protectants drug to drug anticoagulatis ASA NSAIDS
bladder protectants nursing considerations labs: renal and liver function, coag studies give on empty stomach monitor for bleeding
BPH trwatment medications doaxazosin tamsulosin alfuzosin silodosin terazosin finasteride dutasreride
BPH prostate enlargement leads to discomfort, difficulty getting stream started, bloating, risk for cystitis
BPH therapeutic action alpha-adrenergic blockers testosterone blocking drugs
BPH PK PO route metabolized in liver excreted in urine
BPH contraindications hepatic/renal dysfunction heart failure CAD Risk for absorption via skin: Category X pregnancy warning (*** wear gloves when giving medication***)
BPH AEs HA, fatigue dizziness, orthostatic hypotension sexual dysfunction
BPH drug to drug antihypertensives nitrates ED meds Saw pametto
BPH nursing considerations labs: UA, renal and liver function, PSA change positions slowly do not father children or donate blood
 

 



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