NRS3025 Exam 2 - Questions With Accurate
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Practice questions for this set
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Antacid 1 hr before or after meal
Histamine receptor: Ranitidine or cimetidine
sucralfate
PPIs
antibiotics- Metronidazole and tetracycline
Choose an answer
UTI's include the following, what
Why do you monitor a urosepsis pt
1 are they: 2
for shock?
Cystitis, urethritis, prostatitis
3 What is a CAUTI? 4 Tx of PUD
Don't know?
Terms in this set (147)
,UTI's include the Cystitis: Bladder Infection
following, what are they: Urethritis: Urethral infection
Cystitis, urethritis, Prostatitis: Prostate infection
prostatitis
UTI:
What is pyelonephritis?
Infection of the kidney and renal pelvis
Its an Upper UTI
Ascending in nature: travels upward.
Caused by E. coli moving upward.
Characteristics of Pts are at high risk of pyelonephritis if they are an
pyelonephritis uncontrolled diabetic- bacteria likes lots of sugar.
Repeated infections will create scarring that
changes the blood flow to the kidney, glomerulus,
and tubular stricture.
How do you know there This is a big issue when pt starts have systemic
is a big problem with issues.
pyelonephritis Ex: Tachycardia- think sepsis
Cather associated UTI
What is a CAUTI?
** One of the highest causes of inpatient infection
Alkaline urine (not enough acid) lets bacteria grow
Stool incontinence
Renal calculi
Risk factors for UTI
Immunosuppression
If left untreated, can lead to urosepsis and septic
shock
Frequency, urgency, dysuria, hesitancy, fever, chills,
N/V, malaise, flank pain
Urinalysis: + Leukocyte esterase, high WBCs, nitrites,
Manifestations of a UTI
blood- Hematuria (due to inflammation)
Confusion (mostly elderly), altered mental status,
encephalopathy
CVA tenderness (costovertebral angle tenderness)
Biggest indicator of
- Normally this test is negative, but with CVA
pyelonephritis?
tenderness its positive
, Antibiotics: floroquinones, nitrofurantoin, Bactrim
UTI tx Antispasmodics: Pyridium- turns urine orange
Fluids
when UTI spreads to the bloodstream- occurs with
stones.
What is urosepsis? Can be life threatening due to organ failure and
shock
Pt will be hypotensive and confused
Fluids, Cultures, Antibiotics
How to treat urosepsis?
** In that order!
Fluids, cultures, antibiotics.
Pt has urosepsis, but a
You still give fluids because you have to get rid of
low EF, what do you do?
the infection, even if the pt becomes fluid
overloaded you can intubate. Infection could kill.
Monitor for organ failure. If a pt goes into shock
they need vasodilators. Need to maintain MAP,
Why do you monitor a
mean arterial pressure, >65 to make sure all organs
urosepsis pt for shock?
are getting perfused. If MAP is <65, you are not
perfusing the organs enough.
Urge Incontinence Sudden urge to void, unknown cause
Occurs with physical exertion, lifting, sneezing.
Stress Incontinence
Common after childbirth
Constant dribbling. Caused by diabetic neuropathy,
Overflow incontinence
prostatic hyperplasia, uterine prolapse
Large amount of urine retained.
Reflex Incontinence
Due to central nervous system disease (CVA, MS)
Step Solutions
Save
Practice questions for this set
Learn 1 /7 Study with Learn
Antacid 1 hr before or after meal
Histamine receptor: Ranitidine or cimetidine
sucralfate
PPIs
antibiotics- Metronidazole and tetracycline
Choose an answer
UTI's include the following, what
Why do you monitor a urosepsis pt
1 are they: 2
for shock?
Cystitis, urethritis, prostatitis
3 What is a CAUTI? 4 Tx of PUD
Don't know?
Terms in this set (147)
,UTI's include the Cystitis: Bladder Infection
following, what are they: Urethritis: Urethral infection
Cystitis, urethritis, Prostatitis: Prostate infection
prostatitis
UTI:
What is pyelonephritis?
Infection of the kidney and renal pelvis
Its an Upper UTI
Ascending in nature: travels upward.
Caused by E. coli moving upward.
Characteristics of Pts are at high risk of pyelonephritis if they are an
pyelonephritis uncontrolled diabetic- bacteria likes lots of sugar.
Repeated infections will create scarring that
changes the blood flow to the kidney, glomerulus,
and tubular stricture.
How do you know there This is a big issue when pt starts have systemic
is a big problem with issues.
pyelonephritis Ex: Tachycardia- think sepsis
Cather associated UTI
What is a CAUTI?
** One of the highest causes of inpatient infection
Alkaline urine (not enough acid) lets bacteria grow
Stool incontinence
Renal calculi
Risk factors for UTI
Immunosuppression
If left untreated, can lead to urosepsis and septic
shock
Frequency, urgency, dysuria, hesitancy, fever, chills,
N/V, malaise, flank pain
Urinalysis: + Leukocyte esterase, high WBCs, nitrites,
Manifestations of a UTI
blood- Hematuria (due to inflammation)
Confusion (mostly elderly), altered mental status,
encephalopathy
CVA tenderness (costovertebral angle tenderness)
Biggest indicator of
- Normally this test is negative, but with CVA
pyelonephritis?
tenderness its positive
, Antibiotics: floroquinones, nitrofurantoin, Bactrim
UTI tx Antispasmodics: Pyridium- turns urine orange
Fluids
when UTI spreads to the bloodstream- occurs with
stones.
What is urosepsis? Can be life threatening due to organ failure and
shock
Pt will be hypotensive and confused
Fluids, Cultures, Antibiotics
How to treat urosepsis?
** In that order!
Fluids, cultures, antibiotics.
Pt has urosepsis, but a
You still give fluids because you have to get rid of
low EF, what do you do?
the infection, even if the pt becomes fluid
overloaded you can intubate. Infection could kill.
Monitor for organ failure. If a pt goes into shock
they need vasodilators. Need to maintain MAP,
Why do you monitor a
mean arterial pressure, >65 to make sure all organs
urosepsis pt for shock?
are getting perfused. If MAP is <65, you are not
perfusing the organs enough.
Urge Incontinence Sudden urge to void, unknown cause
Occurs with physical exertion, lifting, sneezing.
Stress Incontinence
Common after childbirth
Constant dribbling. Caused by diabetic neuropathy,
Overflow incontinence
prostatic hyperplasia, uterine prolapse
Large amount of urine retained.
Reflex Incontinence
Due to central nervous system disease (CVA, MS)
