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Urinary tract and bd
Question | Answer |
---|---|
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 |