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AE 2 Renal & Urinary System Problems
N/A
20
Nursing
Undergraduate 1
07/08/2011

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Cards

Term
What is second most common bacterial disease?
Definition
Urinary tract infection.
Term
What is the most common causative organism of UTIs?
Definition
E. Coli.
Term
What is the mortality rate of UTIs?
Definition
15% die from gram negative bacteria.
Term
What are the 3 sites of infection for UTIs?
Definition
1. Pyelonephritis.
2. Cystitis.
3. Urethritis.
Term
Upper UTIs involve what structures?
Definition
1. Renal parenchyma.
2. Pelvis.
3. Ureters.
Term
What are the s & sx of upper UTIs?
Definition
1. Fever.
2. Chills.
3. Flank pain.
Term
What are the s & sx of lower UTIs?
Definition
No usual systemic manifestations only localized symptoms.
Term
What are the 6 different UTI classifications?
Definition
1. Uncomplicated infection.
2. Complicated infection.
3. Initial infection.
4. Recurrent infection.
5. Unresolved bacteriuria.
6. Bacterial persistence.
Term
How are recurrent infections treated?
Definition
With antibiotics.
Term
Unresolved bacteriuria can lead to what 2 things?
Definition
1. Sepsis.
2. Chronic UTI.
Term
Complicated UTI can cause an infection in what?
Definition
Kidneys.
Term
What are the 5 causes of complicated UTI?
Definition
1. Ureter obstruction.
2. Stones.
3. Catheters.
4. DM or neurologic disease.
5. Recurrent infection.
Term
What are 6 predisposing factors that can lead to UTI?
Definition
1. Factors increasing urinary stasis.
2. Foreign bodies.
3. Anatomical factors.
4. Sexual intercourse.
5. Immunosuppression.
6. Functional disorders.
Term
What are 5 clinical manifestations of UTI?
Definition
1. Dysuria > every 2 hours.
2. Hematuria/cloudy urine.
3. Flank pain, chills, and fever indicated pyelonephritis.
4. Significant bacteriuria.
5. Bladder tumors.
Term
What are the 4 clinical manifestations of UTI in the older adult?
Definition
1. Could be asymptomatic.
2. Non-localized abdominal discomfort rather than dysuria.
3. May have cognitive impairment.
4. Less likely to have fever.
Term
What are the 3 UTI diagnostic studies?
Definition
1. Urinalysis.
2. Urine culture and sensitivity.
3. Imaging studies in some cases.
Term
Before performing a urinalysis what should you have the patient do before hand?
Definition
Have patient clean perineal area.
Term
What are the 4 drug therapies for UTI?
Definition
1. Trimethoprimsulfamethoxazole or nitrofurantoin.
2. Pyridium.
3. Combination agents.
4. Prophylactic or suppressive antibiotics.
Term
Which drug is used to treat uncomplicated UTI?
Definition
Trimethoprimsulfamethoxazole or nitrofurantoin.
Term
What are the 2 nursing diagnoses for UTI?
Definition
1. Acute pain (#1 always in this case).
2. Impaired urinary elimination.
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