Ch 5.1 - Cystitis Flashcards
1
Q
What is cystitis?
A
Collective term to describe urinary symptoms - dysuria, frequency and urgency
Urine could be cloudy and strong smelling - may be signs of bacterial infection
2
Q
Name the common bacterial causes of infection (3)
A
E.coli
Staph. saprophyticus
Proteus Mirabilis
3
Q
Why is cystitis more common in women than in men?
A
- Much shorter urethra - passage of bacteria easier. Process facilitated by sexual intercourse.
- Evidence that prostatic fluid has antibacterial properties.
4
Q
When to refer? (9)
A
Men, Children Fever, nausea/vomiting Loin pain or tenderness Haematuria Vaginal discharge Longer than 2 days Pregnancy Recurrent cystitis Failed medication
5
Q
What are the management options?
A
Pain relief - paracetamol, ibuprofen for 2 days
Potassium and sodium citrate = makes urine alkaline
6
Q
Which type of patients is potassium citrate contraindicated in?
A
Taking:
Potassium-sparing diuretics
Aldosterone antagonists
ACE inhibitors
7
Q
Which type of patients is sodium citrate contraindicated in?
A
Hypertensive patients
Heart disease
Pregnant
