NU 664 FINAL COMPLETE NEW UPDATED STUDY GUIDE SOLUTION
urinary tract infection (UTI) - CORRECT ANSWER invasion of pathogenic organisms
(commonly bacteria) in the urinary tract, especially the urethra and bladder; symptoms include
dysuria, urinary frequency, and malaise
UTI clinical manifestations - CORRECT ANSWER LOWER- frequency, smell, urgency, burning,
concentrated, hematuria, super pubic pressure/pain
UPPER- All of the above plus fever, flank pain, and chills
Uncomplicated UTI - CORRECT ANSWER Occurs in otherwise normal urinary tract . Affects
PR
women
Usually involves only the bladder.
Uti in men is always complicated
O
cysitis - CORRECT ANSWER inflammation of the bladder
FD
Causes of uncomplicated UTIs? - CORRECT ANSWER Sexual intercourse, impaired voiding,
use of spermicides , estrogen defieciency , abx use
O
Most UTIs are caused by - CORRECT ANSWER Gram-negative rods from the GI tract. ( ecoli)
C
Risk factors for UTIs - CORRECT ANSWER Female gender
Vaginal infections
Bubble baths and vaginal deodorant sprays
Dehydration
Tight-fitting synthetic undergarments
Infrequent voiding
First trimester of pregnancy
Trauma during delivery
Urinary calculi
, Diabetes
Sickle cell trait
Frequent UTIs - CORRECT ANSWER More than 3x/year or 2 in 6 months
UTI diagnosis confirmed - CORRECT ANSWER urinalysis
UTI treatment - CORRECT ANSWER Complicated: Fluoroquinolones are typically the first-line
choice.
PR
Uncomplicated:
Macrodantin 100mg x 5 days
Bactrim DS BID x 3 days
O
Cipro 250 bid x 3 days
Levaquin 250mg x 3 days
FD
UTI pathogens - CORRECT ANSWER E. Coli
Enterococcus
O
Klebsiella
Proteusy
C
pyelonephritis - CORRECT ANSWER inflammation of the kidney and renal pelvis
Pyelonephritis treatment - CORRECT ANSWER outpatient: ciprofloxacin, levaquin, bactrim ds x
14 days y
inpatient: ampicillin/gentamicin
Florquinolones in elderly - CORRECT ANSWER Do not use due to increased dementia and
seizure
urinary tract infection (UTI) - CORRECT ANSWER invasion of pathogenic organisms
(commonly bacteria) in the urinary tract, especially the urethra and bladder; symptoms include
dysuria, urinary frequency, and malaise
UTI clinical manifestations - CORRECT ANSWER LOWER- frequency, smell, urgency, burning,
concentrated, hematuria, super pubic pressure/pain
UPPER- All of the above plus fever, flank pain, and chills
Uncomplicated UTI - CORRECT ANSWER Occurs in otherwise normal urinary tract . Affects
PR
women
Usually involves only the bladder.
Uti in men is always complicated
O
cysitis - CORRECT ANSWER inflammation of the bladder
FD
Causes of uncomplicated UTIs? - CORRECT ANSWER Sexual intercourse, impaired voiding,
use of spermicides , estrogen defieciency , abx use
O
Most UTIs are caused by - CORRECT ANSWER Gram-negative rods from the GI tract. ( ecoli)
C
Risk factors for UTIs - CORRECT ANSWER Female gender
Vaginal infections
Bubble baths and vaginal deodorant sprays
Dehydration
Tight-fitting synthetic undergarments
Infrequent voiding
First trimester of pregnancy
Trauma during delivery
Urinary calculi
, Diabetes
Sickle cell trait
Frequent UTIs - CORRECT ANSWER More than 3x/year or 2 in 6 months
UTI diagnosis confirmed - CORRECT ANSWER urinalysis
UTI treatment - CORRECT ANSWER Complicated: Fluoroquinolones are typically the first-line
choice.
PR
Uncomplicated:
Macrodantin 100mg x 5 days
Bactrim DS BID x 3 days
O
Cipro 250 bid x 3 days
Levaquin 250mg x 3 days
FD
UTI pathogens - CORRECT ANSWER E. Coli
Enterococcus
O
Klebsiella
Proteusy
C
pyelonephritis - CORRECT ANSWER inflammation of the kidney and renal pelvis
Pyelonephritis treatment - CORRECT ANSWER outpatient: ciprofloxacin, levaquin, bactrim ds x
14 days y
inpatient: ampicillin/gentamicin
Florquinolones in elderly - CORRECT ANSWER Do not use due to increased dementia and
seizure
