Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

IOS 10 exam 4

UTI

QuestionAnswer
Cystitis is Dysuria, frequency,urgency, superpubic tenderness,hematuria (no vagina symptoms or discharge)
Pyelonephritis is Maliase,fever, flank pain, costovertal tenderness, abdominal pain, nausea, vomiting,elevated WBC count
Urosepsis-is Mental status changes, failure to thrive, change in urinary habits, dehydration, hypotension. Cystitis (bladder inflammation) fever, elevated WBCs, (+) urinealysis, pre-renal azeotemia
Prostatis is Sudden onset of high fevers, chills, malaise, myalgias, locialized pain, urinary symptoms
Microscopic analysis WBC, RBC, epithelial cells, casts, bacteria.
Macroscopic analysis- standard dipstick- Color, pH, glucose, protein, ketone, bilirubin, blood, nitrite, leukocyte esterase, Casts:
pathophysiology of urinary tract infections Bacteria usually originate from the bowel and ascend urethra and vagina. More common in women.
mechanisms and bacterial virulence Urine: low pH, Micturition (complete emptying of the bladder), Prostatic secretions in men, Lactobacillus in the vaginal flora, One-way vesicoureteral valve,Epithelial cells of the bladder coated with glycosaminoglycan, Tamm-Horsfall p, Secretory IgA
Bacterial virulence characteristics Innoculum size, Pathogenic organisms with mannose-resistance P-fimbriae (resistant to removal by glycosaminoglycans), Production of hemolysin – lyse PMNs, Aerobactin
Lueokocyte esterase indicates WBC or Lysed wbc's
Nitrite positive indicates Gram - bacteria that can reduce nitrates
Acute uncomplicated cyctitis female (15-50) Dysuria, frequency, urgency, superpubic tenderness, hematuria (rare symptomatic)
Uncomplicated or complicated pyelonephritis Flank pain, maliase, fever, costovertal tenderness, abdominal pain, elevated WBC
Treatment of Uncomplicated cyctitis (15-50) Bactrim, Fluorquinolones, Augmention, nitrofurantion) 7days
Complicated cycstitis >50, men Fluoroquinolones, bactrim DS 7-14 days
Asymptomatic bacteriumia in pregnancy treatment Augmentin, cephalosporins, nitrofurantion (not 36 wwek) 3-7 days
Acute pyelonephritus treatment-mild to moderate Fluoroquinolones, bactrium 7-14 days
Acute pyelonephrtis Moderate to sever IV fluoroquinolones, 3rd cephalosporins, Unasyn or Zosyn 14-days
Urosepsis treatment IV fluoroquinolones, 3rd cephalosporins, Unasyn or Zosyn 14-days
Acute or chronic prostatitis treatment bactrim, fluoroquinolones, treat 3-4 weeks for acute or 4-6 weeks up to 12 weeks
Acute uncomplicated Cystitis monitor Resolution of symptoms within 24-48 hrs & re-evaluate if symptoms persist or re-occur
Acute pyelonephritis- monitor Resolution of S/S within 12-24 hours and significant improvement. WBC & temperature improvement should occur within 72hours. Follow-up in 2 weeks.
Urosepsis-monitor Resolution of mental status changes, temperature, WBC, kidney function, Bp, Follow-up 2 weeks
Recurrent Uncomplicated Cystitis- Relapse Infection- Same organism, occur within 2 weeks- Obtain culture & sensitivities Check for underlying causes for relapse and treat for an additional 2-6 weeks
Recurrent Uncomplicated Cystitis- Re-infection New microorganism (species or strain)- Occur >2 weeks post treatment
a. Uncomplicated Cystitis-Recurrent Cystitis – No Relation to Intercourse- Prophylaxis x 6-12 months then stop & observe
b. Uncomplicated Cystitis-Relation to Intercourse Post-intercourse prophylaxis & Voiding after intercourse
asymptomatic or symptomatic candiuria treatment Asymptomatic no treatment- except (ICU),symptomatic- fluconazole 200-400 mg po qd x 7-14d or IVAmphotericin B
Created by: liza001