NGR6605 EXAM 2 - GU (PPT Notes) – Accurate
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Terms in this set (108)
• Significant bacteria counts in urine with NO
symptoms
• Most common in women, after menopause, BPH,
pregnancy, and with indwelling catheter
Asymptomatic Bacteriuria • Usually caused by E. coli
• Treatment is not necessary unless pregnant or
immunocompromised
• Recommend increasing po fluids
• Avoid bladder stasis with frequent voiding
True
A UTI is the most common
- Always think Cat B antibiotics for
infection of all ages as well
pregnant/lactating women
as most common
- In patients who are hemodynamically unstable,
nosocomial infection, T/F?
severely dehydrated, or unable to take po meds
should be admitted
Refer unusual presentations True
and those with recurrent
problems or who do not
respond to standard
treatment, T/F?
• Usually an uncomplicated urinary tract infection
involving the urethra and bladder
• Risk factors:
o Female, sexual activity, esp. anal sex, DM,
Cystitis:
pregnancy, spermicides & barrier methods,
oral contraceptives, tumors, stones, strictures,
aging, constipation, family history,
catheters, neurogenic bladder
,Causes of Cystitis in 80- E. coli
90% cases is from:
• Significant bacteria counts in urine with NO
symptoms
• Most common in women, after menopause, BPH,
pregnancy, and with indwelling catheter
Asymptomatic Bacteriuria: • Usually caused by E. coli
• Treatment is not necessary unless pregnant or
immunocompromised
• Recommend increasing po fluids
• Avoid bladder stasis with frequent voiding
- mental status changes
Asymptomatic Bacteriuria
- may present afebrile
in older adults (over 65 yrs)
may present with:
* Older adults often do NOT have fevers with UTIs
• UA Dipstick (always do clean catch)
o (+) leukocytes
o (+) Nitrites (presence of gram negative
bacteria)
o Possible (+) blood
• If dip positive, send full UA and consider C& S
• Urine C & S
Diagnosis of Cystitis:
o If atypical symptoms, recurrent UTI (esp.
within 2-4 weeks after antibiotic tx),
older patients, diabetics, or is you suspect
more severe UTI or pyelonephritis
• Consider imaging
o such as voiding cystourethralgram for
recurrent infections or men
- Bactrim DS 1 tablet po BID X 3 days
- Nitrofurantoin 100 mg po BID X 7 days
Treatment Of Cystitis:
- Cipro 250-500 mg po Q 12hrs X 3 days
• Uncomplicated
- Keflex (Cephalexin) 250-500 mg po Q 6hrs X 10
days (good choice for pregnant pts)
, - Levaquin 500-750mg po daily X 7 days
Treatment Of Cystitis:
- Same antibiotics as for uncomplicated but treat
• Complicated (ie. severe
for 10-14 days
infection, recurrent
- Pain releif
infection, infections in
- Pyridium (phenazopyridine) 100-200 mg po TID,
males, or in
for max 2-3 days
immunocompromised pts)-
- Push po fluids
• Teach:
o Postcoidal voiding
o Avoid barrier methods of birth control and
spermicide
o Increase po fluid intake
Prevention of Cystitis: o Drink cranberry juice daily - changes pH of
urine (they make capsules now, Juice=high
sugar)
o Consider intravaginal estrogen replacement
for post menopausal women
o Good hygiene
o Avoid quinolones and sulfa
o Obtain follow up urine C & S after therapy to
Treatment of Cystitis
ensure critters eradicated
inpregnancy:
o Admit if has fever, leukocytosis, emesis/
dehydration
Answers To All Questions
Save
Terms in this set (108)
• Significant bacteria counts in urine with NO
symptoms
• Most common in women, after menopause, BPH,
pregnancy, and with indwelling catheter
Asymptomatic Bacteriuria • Usually caused by E. coli
• Treatment is not necessary unless pregnant or
immunocompromised
• Recommend increasing po fluids
• Avoid bladder stasis with frequent voiding
True
A UTI is the most common
- Always think Cat B antibiotics for
infection of all ages as well
pregnant/lactating women
as most common
- In patients who are hemodynamically unstable,
nosocomial infection, T/F?
severely dehydrated, or unable to take po meds
should be admitted
Refer unusual presentations True
and those with recurrent
problems or who do not
respond to standard
treatment, T/F?
• Usually an uncomplicated urinary tract infection
involving the urethra and bladder
• Risk factors:
o Female, sexual activity, esp. anal sex, DM,
Cystitis:
pregnancy, spermicides & barrier methods,
oral contraceptives, tumors, stones, strictures,
aging, constipation, family history,
catheters, neurogenic bladder
,Causes of Cystitis in 80- E. coli
90% cases is from:
• Significant bacteria counts in urine with NO
symptoms
• Most common in women, after menopause, BPH,
pregnancy, and with indwelling catheter
Asymptomatic Bacteriuria: • Usually caused by E. coli
• Treatment is not necessary unless pregnant or
immunocompromised
• Recommend increasing po fluids
• Avoid bladder stasis with frequent voiding
- mental status changes
Asymptomatic Bacteriuria
- may present afebrile
in older adults (over 65 yrs)
may present with:
* Older adults often do NOT have fevers with UTIs
• UA Dipstick (always do clean catch)
o (+) leukocytes
o (+) Nitrites (presence of gram negative
bacteria)
o Possible (+) blood
• If dip positive, send full UA and consider C& S
• Urine C & S
Diagnosis of Cystitis:
o If atypical symptoms, recurrent UTI (esp.
within 2-4 weeks after antibiotic tx),
older patients, diabetics, or is you suspect
more severe UTI or pyelonephritis
• Consider imaging
o such as voiding cystourethralgram for
recurrent infections or men
- Bactrim DS 1 tablet po BID X 3 days
- Nitrofurantoin 100 mg po BID X 7 days
Treatment Of Cystitis:
- Cipro 250-500 mg po Q 12hrs X 3 days
• Uncomplicated
- Keflex (Cephalexin) 250-500 mg po Q 6hrs X 10
days (good choice for pregnant pts)
, - Levaquin 500-750mg po daily X 7 days
Treatment Of Cystitis:
- Same antibiotics as for uncomplicated but treat
• Complicated (ie. severe
for 10-14 days
infection, recurrent
- Pain releif
infection, infections in
- Pyridium (phenazopyridine) 100-200 mg po TID,
males, or in
for max 2-3 days
immunocompromised pts)-
- Push po fluids
• Teach:
o Postcoidal voiding
o Avoid barrier methods of birth control and
spermicide
o Increase po fluid intake
Prevention of Cystitis: o Drink cranberry juice daily - changes pH of
urine (they make capsules now, Juice=high
sugar)
o Consider intravaginal estrogen replacement
for post menopausal women
o Good hygiene
o Avoid quinolones and sulfa
o Obtain follow up urine C & S after therapy to
Treatment of Cystitis
ensure critters eradicated
inpregnancy:
o Admit if has fever, leukocytosis, emesis/
dehydration
