Alterations (Page 39-40)

Question 1

Is the imaging study of choice for UTI

Answer 1

Ultrasonography

Question 2

What are the 3 causes of infection for patienyts undergoing ultrasonography?

Answer 2

1 Reflux

2 Urinary stasis or Obstruction

Question 3

Is it unsual for men to have UTI?

Answer 3

No unless they get STD

Question 4

It is also known as excretory urogram

Answer 4

Intravenous Pyelography

Question 5

It is done to evlautae the calyces and pelvis of the kidneys, ureters, and urinary bladder

Answer 5

Intravenous Pyelography

Question 6

It requires administration of iodine based dye

Answer 6

Intravenous Pyelography

Question 7

It is used in patients not responding to antibiotics

Answer 7

Computed Tomography

Question 8

When shold the CT scan w/ contrast is done?

Answer 8

If perinephric abscess is not present

Question 9

Why is STD testing done?

Answer 9

Because UTI and STD have the same presenting manifestations

Question 10

What are some examples of diagnostic tests for STD testing?

Answer 10

1 Anal and genital cultures
2 Serology test for Syphillis
3 HIV test

Question 11

What are the drug treatment courses for Cystitis?

Answer 11

1 Trimethropim- Sulfamethoxazole 
2 Bactrim or septa
3 Nitrofurantoin
4 Amoxicillin 
5 Cephalosporins

Question 12

What is the nursing responsibility for the use of TMP-SMX?

Answer 12

Make sure to ask px for any allergise of sulfa

Question 13

What is Bactrim or septa used for?

Answer 13

Blocks protein in bacteria needed to survive

Question 14

Recommended dosage for bactrim?

Answer 14

160 mg TMP/800 mg SMX giveb BID for 3 days

Question 15

Cheapest or most commonly used drug

Answer 15

Bactrim or septa

Question 16

Can be used if px is allergic to ceprofloxacin

Answer 16

Bactrim or septa

Question 17

What is Nitrofurantoin used for?

Answer 17

Keeps bacteria from making DNA needed to survive

Question 18

Recommended dosage for Nitrofurantoin

Answer 18

100 mg BID for 5 days

Question 19

Most expensive drug

Answer 19

Nitrofurantoin

Question 20

What is Amoxicillin used for?

Answer 20

Destroys the bacterial cellular walls

Question 21

Recommended dosage for Amoxicillin

Answer 21

500 mg BID for 5-7 days

Question 22

When is Cephalosporin given?

Answer 22

Given 5-7 days

Question 23

What are the drugs given for high risk patients?

Answer 23

1 Floroquinolones
2 TMP-SMX
3 Beta Lactams

Question 24

Why are these drugs give for high risk patients?

Answer 24

Since it doesn’t ruin the kidneys

Question 25

General rule in giving meds for uncomplicated pyelonephritis?

Answer 25

IV meds at first, the the last few days of treatment is oral meds

Question 26

Preferred for empiric therapy

Answer 26

Floroquinolones

Question 27

S & S for suspected bacteremia

Answer 27

1 Chills
2 Septic
3 Hypotensive
4 Vomiting

Question 28

Used for gram positive bacteria

Answer 28

Ciprofloxacin

Question 29

Used for gram negative bacteria

Answer 29

Gentamicin

Question 30

What to WOF gentamicin?

Answer 30

1 Ototoxicity & Nephrotoxicity (Fist sign: Loss of hearing)

Question 31

What are the medications give for extremy ill patients?

Answer 31

1 Aminoglycosides
2 Ciprofloxacin
3 Antipseudomonal penicillin
4 Carbapenam

Question 32

What are some important patient teachings

Answer 32

1 Drink 8 to 10 glasses of fluid per day

2 Women should wipe from front to back (proper hygiene)

Question 33

How to prevent Cystitis?

Answer 33

1 Avoid vaginal irritants, perfumes, powders, etc.
2 Urinate after intercourse
3 Perineal care/hygiene
4 Use white toilte paper n wiping perineum