Advanced Nursing NSG 6001
Acute bacterial prostatitis - ANS - Acute Bacterial: systemic illness, acute dysuria, frequency,
painful sex, pain with defecating, hematuria, UA contains pus and bacteria
management: may require hospitalization, abx, comfort measures, analgesics, stop OTC
anticholinergics
Urology referral
Acute Scrotum- Testicular torsion - ANS - twisting of the spermatic cord which results in
compromised blood flow to the testies (EMERGENCY)
Tx: surgery
Acute Sinusitis - ANS - <4 weeks. Viral
Appendicitis - ANS - inflammation of the appendix
RLQ pain, N/V, decreased appetite
Imaging: CT scan
Atrial Fibrillation - ANS - rapid, random, irregular, ineffective contractions of the atrium
Stasis of blood in the atria increases the risk for blood clot formation
bacterial vaginosis - ANS - Unpleasant "fishy smelling" grayish white discharge
-white thick coating on vaginal walls
- itching and inflammation are uncommon
-vaginal pH is greater than 4.5
- positive Wiff test
- Clue cells on wet mount (vaginal epithelia cells coated with bacteria) (most reliable protector of
BV
Tx: may resolve spontaneously, treat if symptomatic.
Metronidazole, Metronidazole gel, or clindamycin cream
- Refrain from intercourse or use condoms consistently during tx
BPH - ANS - benign prostatic hyperplasia; benign prostatic hypertrophy
Candida vulvovaginitis - ANS - Clinical: Vulvar/vaginal pruitis, vaginal soreness/irritation,
dyspareunia, burning with voiding, white, clumpy discharge.
Wet mount: pH 4-4.5 (normal)
- yeast buds or spores or hyphae on wet mount
, tx: most uncomplicated infections improve with therapy within 2 days, sever infections may
require up to 14 days
- OTC anti yeast vaginal agents (Butoconazole, coltrimazole, moconazole); Prescription anti
yeast vaginal agents: (Terconazole o.4%/0.8%, Butoconazole 2% cream)
Oral antifungals: Fluconazole 150 mg tablet (Diflucan)- do not use in pregnancy
Cardinal s/s of CHF - ANS - dyspnea and fatigue
Causes of Hematuria - ANS - Malignancies, infection, trauma, etc
Causes of Hordeolum - ANS - staph aureus is the most common associated organism, can
progress to cellulitis or abcess
- more common in children
Causes of Otitis Media - ANS - Bacterial or viruses (often refluxes from nasopharynx into ear)
occurs with or follows URI, allergic rhinitis, exposure to smoke in young children, ET is short and
more horizontal, bottle feeding, attending daycare, GERD, pacifier use, craniofacial
abnormalities
- Most common organisms: Strep Pneumo, H.Flu, Moraxella Catarrhalis
- most frequent childhood infectious disease
causes of urinary incontinence - ANS - weak bladder muscles, overactive bladder muscle,
nerve damage, drugs, pregnancy, childbirth, menopause, BPH, prostate cancer
Chalazion - ANS - A chronic sterile, lipogranulomatous inflammation lesion of the mibomian
gland.
Characteristics of Stable Angina - ANS - Pressure, tightness, heaviness in central/ retrosternal
chest may radiate to upper body, arms, jaws, and or back brief; gradual onset then relief
- intensity increases and then decreases over several mins, pain does not change with position
or respiration
- improves with rest or nitroglycerin
-shortness of breath
Cholycystitis - ANS - Inflammation of the gall bladder
Usually follows an obstruction
RUQ Pain (Biliary colic)
Nausea and vomiting
Fever
Imaging: Hyda scan, ultrasound
Chrohns disease - ANS - affects any part of the GI tract, all parts of the bowel
- diarrhea, non bloody, mucous and pus
- less than 5 stools/day
Acute bacterial prostatitis - ANS - Acute Bacterial: systemic illness, acute dysuria, frequency,
painful sex, pain with defecating, hematuria, UA contains pus and bacteria
management: may require hospitalization, abx, comfort measures, analgesics, stop OTC
anticholinergics
Urology referral
Acute Scrotum- Testicular torsion - ANS - twisting of the spermatic cord which results in
compromised blood flow to the testies (EMERGENCY)
Tx: surgery
Acute Sinusitis - ANS - <4 weeks. Viral
Appendicitis - ANS - inflammation of the appendix
RLQ pain, N/V, decreased appetite
Imaging: CT scan
Atrial Fibrillation - ANS - rapid, random, irregular, ineffective contractions of the atrium
Stasis of blood in the atria increases the risk for blood clot formation
bacterial vaginosis - ANS - Unpleasant "fishy smelling" grayish white discharge
-white thick coating on vaginal walls
- itching and inflammation are uncommon
-vaginal pH is greater than 4.5
- positive Wiff test
- Clue cells on wet mount (vaginal epithelia cells coated with bacteria) (most reliable protector of
BV
Tx: may resolve spontaneously, treat if symptomatic.
Metronidazole, Metronidazole gel, or clindamycin cream
- Refrain from intercourse or use condoms consistently during tx
BPH - ANS - benign prostatic hyperplasia; benign prostatic hypertrophy
Candida vulvovaginitis - ANS - Clinical: Vulvar/vaginal pruitis, vaginal soreness/irritation,
dyspareunia, burning with voiding, white, clumpy discharge.
Wet mount: pH 4-4.5 (normal)
- yeast buds or spores or hyphae on wet mount
, tx: most uncomplicated infections improve with therapy within 2 days, sever infections may
require up to 14 days
- OTC anti yeast vaginal agents (Butoconazole, coltrimazole, moconazole); Prescription anti
yeast vaginal agents: (Terconazole o.4%/0.8%, Butoconazole 2% cream)
Oral antifungals: Fluconazole 150 mg tablet (Diflucan)- do not use in pregnancy
Cardinal s/s of CHF - ANS - dyspnea and fatigue
Causes of Hematuria - ANS - Malignancies, infection, trauma, etc
Causes of Hordeolum - ANS - staph aureus is the most common associated organism, can
progress to cellulitis or abcess
- more common in children
Causes of Otitis Media - ANS - Bacterial or viruses (often refluxes from nasopharynx into ear)
occurs with or follows URI, allergic rhinitis, exposure to smoke in young children, ET is short and
more horizontal, bottle feeding, attending daycare, GERD, pacifier use, craniofacial
abnormalities
- Most common organisms: Strep Pneumo, H.Flu, Moraxella Catarrhalis
- most frequent childhood infectious disease
causes of urinary incontinence - ANS - weak bladder muscles, overactive bladder muscle,
nerve damage, drugs, pregnancy, childbirth, menopause, BPH, prostate cancer
Chalazion - ANS - A chronic sterile, lipogranulomatous inflammation lesion of the mibomian
gland.
Characteristics of Stable Angina - ANS - Pressure, tightness, heaviness in central/ retrosternal
chest may radiate to upper body, arms, jaws, and or back brief; gradual onset then relief
- intensity increases and then decreases over several mins, pain does not change with position
or respiration
- improves with rest or nitroglycerin
-shortness of breath
Cholycystitis - ANS - Inflammation of the gall bladder
Usually follows an obstruction
RUQ Pain (Biliary colic)
Nausea and vomiting
Fever
Imaging: Hyda scan, ultrasound
Chrohns disease - ANS - affects any part of the GI tract, all parts of the bowel
- diarrhea, non bloody, mucous and pus
- less than 5 stools/day
