NRNP 6550 FINAL EXAM QUESTIONS &
VERIFIED ANSWERS A+ GRADE (WALDEN
UNIVERSITY)
Urine Culture With Uti
- 100.000 Colonies In Asymptomatic: Bacteruria
10 - 10.000 Colonies In Symptomatic Patients But Also Pyuria
Pyuria: More Than 10 Leukocytes
Elevated Erythrocytes With Pyelonephritis
Wbc In Urine
False Positive With Tumor, Urethritis And Poor Collection
Technique Repeat In Pregnant Women
Lower Urinary Tract Uti And Upper Urinary Tract Uti
- Bladder And Urethra: Cystitis/ Urethritis/
Prostatitis Kidney And Ureters: Pyelonephritis/
Renal Abcess
Uncomplicated And Complicated Uti
- Uncomplicated: In Normal Working Urinary Tract
Complicated: Defects In Urinary Tract Or With Other Health Problems
Common Pathogens For Uti
- E.Coli (Elderly Women)
Staphylococcus
Proteus Mirabilis (Elderly Men)
Klebsiella
Enterecoccus
Pseudomonas
,Providencia
(Institutionalized) Fungus:
Candida
,Risk Factors For Uti
- Female
Critically
Ill Elderly
Catheter (Caused By
Biofilm) Dm
Calculi, Tumor,
Stricture Neurogenic
Bladder Women:
Sexual Intercourse Or New Sex Partner
Pregnancy
Previous Uti
Men:
Prostate
Enlargement
Prostatitis
Lack Of
Circumcision Gay
Hiv
Findings Uti
- Lower:
Dysuria/ Urgency/ Frequency/
Incontinence Suprapubic Pain
Hematuria
Fever/ Chills
Uncommon No Flank
Pain
Upper:
Flank Pain
Fever And
Chills
Hematuria
N/V
Ams (In
Elderly)
Malaise
Tachycardia/ Tachypnea
Testing And Results For Uti
, - Gold Standard: Urine Culture And Sensitivity: Detection Of Bacteria. Start With
Poc: Urine Analysis.
Ua: Pos For Nitrite Or Leukocyte Or Blood
Cbc: Leukocyte With Left Shift In Pyelonephritis
For Recurrent Uti In Women Or Uti In Men Rule Out Obstruction, Calculi, Or
Necrosis With: Xr Voiding
Ct
Abdomen
Us Pelvis
Mri Pelvis
Management Acute Cystitis
- First Line:
- Single Dose Fosfomycin (Monurol)
- 3 Day: Sulfa: Trimethoprim/ Sulfa (Bactrim) (Do Not Give Near Delivery Of
Baby, Give Cephalexin Instead) Or Sulfa
- 5 Days: Nitrofurantoin, Caution In Elderly
Second Line:
- Qiunolones: Ciprofloxain Or Levofloxacin For 3 Days (Not For Pregnant Women!)
- B-Lactams: Amoxi-Clav, Cefdinir For 3 - 7 Days
Management Uncomplicated Upper Uti
- Outpt:
Quinolone: Ciprofloxacin For 7 Days Or Levofloxacin For
5 Days Sulfa: Trimethoprim/ Sulfa (Bactrim) For 14 Days
Inpt:
Ceftriaxone Or Cefotaxime
Ampicillin
Cauti:
Bacterial: Treat With Ab For 7 Days
Candiduria: Fluconazole For 14 Days
Discomfort: Pyridium
Management Acute Complicated Bacterial Pyelonephritis
VERIFIED ANSWERS A+ GRADE (WALDEN
UNIVERSITY)
Urine Culture With Uti
- 100.000 Colonies In Asymptomatic: Bacteruria
10 - 10.000 Colonies In Symptomatic Patients But Also Pyuria
Pyuria: More Than 10 Leukocytes
Elevated Erythrocytes With Pyelonephritis
Wbc In Urine
False Positive With Tumor, Urethritis And Poor Collection
Technique Repeat In Pregnant Women
Lower Urinary Tract Uti And Upper Urinary Tract Uti
- Bladder And Urethra: Cystitis/ Urethritis/
Prostatitis Kidney And Ureters: Pyelonephritis/
Renal Abcess
Uncomplicated And Complicated Uti
- Uncomplicated: In Normal Working Urinary Tract
Complicated: Defects In Urinary Tract Or With Other Health Problems
Common Pathogens For Uti
- E.Coli (Elderly Women)
Staphylococcus
Proteus Mirabilis (Elderly Men)
Klebsiella
Enterecoccus
Pseudomonas
,Providencia
(Institutionalized) Fungus:
Candida
,Risk Factors For Uti
- Female
Critically
Ill Elderly
Catheter (Caused By
Biofilm) Dm
Calculi, Tumor,
Stricture Neurogenic
Bladder Women:
Sexual Intercourse Or New Sex Partner
Pregnancy
Previous Uti
Men:
Prostate
Enlargement
Prostatitis
Lack Of
Circumcision Gay
Hiv
Findings Uti
- Lower:
Dysuria/ Urgency/ Frequency/
Incontinence Suprapubic Pain
Hematuria
Fever/ Chills
Uncommon No Flank
Pain
Upper:
Flank Pain
Fever And
Chills
Hematuria
N/V
Ams (In
Elderly)
Malaise
Tachycardia/ Tachypnea
Testing And Results For Uti
, - Gold Standard: Urine Culture And Sensitivity: Detection Of Bacteria. Start With
Poc: Urine Analysis.
Ua: Pos For Nitrite Or Leukocyte Or Blood
Cbc: Leukocyte With Left Shift In Pyelonephritis
For Recurrent Uti In Women Or Uti In Men Rule Out Obstruction, Calculi, Or
Necrosis With: Xr Voiding
Ct
Abdomen
Us Pelvis
Mri Pelvis
Management Acute Cystitis
- First Line:
- Single Dose Fosfomycin (Monurol)
- 3 Day: Sulfa: Trimethoprim/ Sulfa (Bactrim) (Do Not Give Near Delivery Of
Baby, Give Cephalexin Instead) Or Sulfa
- 5 Days: Nitrofurantoin, Caution In Elderly
Second Line:
- Qiunolones: Ciprofloxain Or Levofloxacin For 3 Days (Not For Pregnant Women!)
- B-Lactams: Amoxi-Clav, Cefdinir For 3 - 7 Days
Management Uncomplicated Upper Uti
- Outpt:
Quinolone: Ciprofloxacin For 7 Days Or Levofloxacin For
5 Days Sulfa: Trimethoprim/ Sulfa (Bactrim) For 14 Days
Inpt:
Ceftriaxone Or Cefotaxime
Ampicillin
Cauti:
Bacterial: Treat With Ab For 7 Days
Candiduria: Fluconazole For 14 Days
Discomfort: Pyridium
Management Acute Complicated Bacterial Pyelonephritis
