Module 4 Nurs 5433
What are the maximum commonplace gram poor causative sellers for UTI?
E. Coli, klebsiella, enterobacter, proteus mirabilis
What is the most common gram wonderful causative organism for UTI?
Staph saprophyticus
Name 5 chance elements for UTI
current UTI, recent sexual pastime (and now not voiding after serx), DM, abnormalities of
urinary tract, current abx use, terrible hygiene, estrogen deficiency
What are not unusual s/s of UTI?
Dysuria, urgency, cloudy and foul smelling urine, hematuria, suprapubic tenderness
How are you able to distinguish pyelonephritis from a UTI?
Pyelonephritis will have flank pain, fever, and signs and symptoms of sepsis
usually no fever is present with UTI
What are the not unusual s/s of pyelonephritis?
Fever one hundred and one.3 or more, rigors, flank ache, signs of sepsis
Why do pregnant girls with UTI (even is asymptomatic) want to be dealt with?
UTI can set off premature exertions
Can increase BP (preeclampsia)
What is the maximum essential diagnostic test to run for UTIs?
Urine sample for c/s
What do white blood cell casts on UA indicate?
Pyelonephritis
When are you able to deal with empirically for pyelonephritis with out c/s outcomes?
Fever over one hundred and one.3
, flank pain
pyuria
hematuria
whilst cultures get back, make sure that they are on the best abx
What check can you do inside the office for UTI?
Urine dipstick
What outcomes from a urine dipstick would imply contamination?
Nitrates and leukocytes
this may be the simplest take a look at needed until you observed pyelonephritis, they've had
a latest UTI or abx remedy or been hospitalized these days
What is your next step in motion if a affected person provides with dysuria, frequency, and
urgency, but the urine dipstick indicates no nitrates or leukocytes?
Run a c/s
due to the fact a few strains of proteus, klebsiella, E. Coli, and enterobacter do no longer
produce nitrates
Which populations ALWAYS want a c/s whilst you suspect a UTI
Men, pregnant girls, these days hospitalized sufferers, kids
What diagnoses ought to you do not forget when you have a affected person with pyuria but
a negative urine subculture?
Bladder stone, bladder tumor, interstitial cystitis or bladder obstruction
What is the imaging of desire to assess urinary issues?
Sonogram
When is it advise to perform a sonogram for urinary issues?
Acute pyelo in a male, acute pyelo in girls with fever even after 2 days on abx, ladies who
has had four UTI in final yr, failure to clear contamination after direction of abx, renal mass
What is a renal ultrasound used for in pediatrics?
To determine if there is an obstruction
What are the maximum commonplace gram poor causative sellers for UTI?
E. Coli, klebsiella, enterobacter, proteus mirabilis
What is the most common gram wonderful causative organism for UTI?
Staph saprophyticus
Name 5 chance elements for UTI
current UTI, recent sexual pastime (and now not voiding after serx), DM, abnormalities of
urinary tract, current abx use, terrible hygiene, estrogen deficiency
What are not unusual s/s of UTI?
Dysuria, urgency, cloudy and foul smelling urine, hematuria, suprapubic tenderness
How are you able to distinguish pyelonephritis from a UTI?
Pyelonephritis will have flank pain, fever, and signs and symptoms of sepsis
usually no fever is present with UTI
What are the not unusual s/s of pyelonephritis?
Fever one hundred and one.3 or more, rigors, flank ache, signs of sepsis
Why do pregnant girls with UTI (even is asymptomatic) want to be dealt with?
UTI can set off premature exertions
Can increase BP (preeclampsia)
What is the maximum essential diagnostic test to run for UTIs?
Urine sample for c/s
What do white blood cell casts on UA indicate?
Pyelonephritis
When are you able to deal with empirically for pyelonephritis with out c/s outcomes?
Fever over one hundred and one.3
, flank pain
pyuria
hematuria
whilst cultures get back, make sure that they are on the best abx
What check can you do inside the office for UTI?
Urine dipstick
What outcomes from a urine dipstick would imply contamination?
Nitrates and leukocytes
this may be the simplest take a look at needed until you observed pyelonephritis, they've had
a latest UTI or abx remedy or been hospitalized these days
What is your next step in motion if a affected person provides with dysuria, frequency, and
urgency, but the urine dipstick indicates no nitrates or leukocytes?
Run a c/s
due to the fact a few strains of proteus, klebsiella, E. Coli, and enterobacter do no longer
produce nitrates
Which populations ALWAYS want a c/s whilst you suspect a UTI
Men, pregnant girls, these days hospitalized sufferers, kids
What diagnoses ought to you do not forget when you have a affected person with pyuria but
a negative urine subculture?
Bladder stone, bladder tumor, interstitial cystitis or bladder obstruction
What is the imaging of desire to assess urinary issues?
Sonogram
When is it advise to perform a sonogram for urinary issues?
Acute pyelo in a male, acute pyelo in girls with fever even after 2 days on abx, ladies who
has had four UTI in final yr, failure to clear contamination after direction of abx, renal mass
What is a renal ultrasound used for in pediatrics?
To determine if there is an obstruction
