Save
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.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
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
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

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