Infectious Disorders of the Urinary Tract/ Urinary Obstruction
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| What organism most commonly causes UTIs? | Gram-negative bacteria e.g. E. Coli
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| what are some medical managements for a UTI? | Medical management,
Eliminate bacteria,
Urinary antiseptics,
Remove obstructions,
intermittent catheterization
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| 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
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| what are the Four classes of urinary antiseptics? | -Quinolone (Nalidixic acid)...
-Nitrofurantoin (Macrodantin)...
-Methenamine (Mandelamine)...
-Fluoroquinolone (Norfloxin/ Noroxin)
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| the two types of urethritis are.... | 1. (NSU) Nonspecific urethritis
(Candidiasis or
Trichomonas infections)
2.Gonorrhea urethritis
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| infection more common in men? | urethritis
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| 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
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| what is cystitis? | inflammation of the wall of the urinary bladder.
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| common signs and symptoms assosiated with Cystitis? | -Dysuria
-urinary frequency
-pyuria
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| who's first name in the 15-001 class is Medinitomj? | Bautista.... :)
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| A cronic pelvic pain disorder with recurring discomfort or pain in the urinary bladder and surrounding region.... | Interstitial Cystitis (IC)
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| what is Pyelonephritis? | inflammation of the structures of the kidney (renal pelvis, renal tubules, and interstitial tissue
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| Pyelonephritis is almost always caused by ________ (what bacteria?) | E. Coli
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| Who in the 15-001 class is from Montana? | Hout!
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| what are some Clinical Manifestations of Pyelonephritis? | -Chills, fever, and severe fatigue
-Flank pain
-AZOTEMIA
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| where will a patient with pyelonephritis feel pain? | in the costovertebral angle (CVA)
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| the inflammation and/or infection of the prostate gland is called.......... | prostatitis
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| Medical Management for prostatitis | Broad-spectrum antibiotics for 4 to 16 weeks,
Anti-inflammatories,
Opioids
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| What is the duration of antibiotic therapy for a patient with prostatitis? | 4 to 16 weeks
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| 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
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| what does BPH stand for? | Benign Prostatic Hyperplasia.
Its, an Age-associated prostate gland enlargement that can cause urination difficulty
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| who had right shoulder surgery from the 14-006, I mean 15-001 class? | Hise! >.<
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| What causes a urinary obstruction? | Structures,kinks,
Cysts,tumors,
Calculi
BPH
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| 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
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| what is the KUB diagnostic test used for in a suspected urinary obstruction? | to identify size and location of obstruction
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| what is a Renal ultrasound and IVP used for in a suspected urinary obstruction? | to Identify structural changes
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| When do patients with a urinary obstruction seek treatment? | When urinating is difficult or painful.
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| 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
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| What is the minimum urine output that patient's should maintain? | 30ml/hour.
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| List conditions that predispose patients to the development of renal calculi. | -Immobility.
-Hyperparathyroidism.
-Recurrent UTI.
-Dehydration.
-Excessive intake of vitamin D/milk products.
-Osteoporosis.
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| disorder that includes Formation of urinary calculi in any area of the urinary tract? | Urolithiasis .
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| Nephrolithiasis are kidney stones, where? | in the minor and mayor calyces of the kidneys
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| Ureterolithiasis are kidney stones, where? | in the ureter
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| clinical manifestation for cystolithiasis | Hematuria,
pain
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| What are three potential treatments for calculi of the renal system? | Cystoscopy, Surgical removal, Chemolysis, or Extracorporeal shock wave lithotripsy (ESWL).
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