Chapter 51: Urinary Disorders

Question 1

What is cystitis?

Answer 1

Inflammation of bladder

Question 2

What is uthritis?

Answer 2

Inflammation of the urthrea

Question 3

What is pyeloneprhitis?

Answer 3

Inflammation of the kidney
Upper urinary tract infection

Question 4

Who is most like to have urinary tract infections?
Gender wise

Answer 4

Females

Question 5

Why is female more likely to get UTI than male?

Answer 5

Shorter urthrea

Question 6

What is the most common organism to cause UTI?

Answer 6

E. coli

Question 7

It’s unlikely for men to have uti, usually it’s what other two things?

Answer 7

Prostatisis
Cystitis

Question 8

What is the biggest symptom of pyelonephritis? (2)

Answer 8

Flank pain
High fever

Question 9

Pregnancy usually go to the bathroom a lot so many things will go?

Answer 9

Un notice

Question 10

What are the antics and antiseptics we will be talking about urinary issues? (8)

Answer 10

Trimethroprim-sulfamethoxazole
Methenamine
Nitrofurantion
Fluoroquinolones
Phenazopyridine
Bethanechol
Antispamodics
Antimuscarinics

Question 11

Trimethoprim- trimethroprim
Sulfamethoxazole
What does it do?

Very famous to causing what? (4)

Answer 11

Antibiotics

Crystals in the urine
Steven Johnson syndrome
Blood dysguris
Hepatic necrosis
Photosensitivity

Question 12

What is methenamine?
What does it do ^

Famous for causing what too?

Answer 12

Bring down the ph of the acidic
( making the bladder in hospital )

Crystals in the urine

Question 13

Since both sulfa and meth cause crystals in the urine what do we recommend?

Answer 13

Drink a lot of fluid
(2k-3k ml )

Question 14

What is nitrofurantoin do?

Answer 14

Urinary anti septic
Doesn’t treat anything but UTI
Usually just stays there

Question 15

What are the side effect is nitrofurantoin? (7)

Answer 15

Urine discoloration ( brown ) !!
Elevated hepatic enzymes
Dyspnea !!!!!!
( wheezing, SOB )
Chest pain
Cough
Fever
Chills

Question 16

What is fluoroquinolones?
What is it famous for casuing?

Answer 16

Antibiotics

Tendon rupture
( tendinitis , peripheral neuropathy, cns effects, exacerbations, photosensitivity )

Question 17

We usually don’t like taking antacids with these medication why?

Answer 17

They decrease its effectiveness

Question 18

Urinary analgesics
What the medication?
What does it help with?

Answer 18

Phenazopyridine

Helps decrease burning and urgency

Question 19

What does Phenazopyridine side effect? (4)

Answer 19

Contact lens and urine discoloration
( ORANGE ! )

Renal toxicity
hepatic toxicity

Alter glucose in urine
( so check glucose )

Question 20

Notes
Don’t use dipstick
Use microscopic exam
Because everything Is orange with phenazopyridine

It can show glucose in urinalysis
Finger stick or blood draw !!

Question 21

Urinary stimulants
What’s the medication?

Answer 21

Benthanechol

Question 22

Benthanechol action?
Meaning what?

Dont give to who?

Answer 22

Helps the tone of the bladder
Help you pee better

Peptic ulcers !!

Question 23

Urinary antispasmodics
Action is anticholinergic drugs!!
Just help relieve bladder spams

Meaning it does what?

Answer 23

Relax the muscle
Relive those bladder spams

Question 24

What are the 3 urinary antispasmodics side effects?

Answer 24

Blurred vision
Insomnia
Urinary retention

Question 25

What are the 2 contraindications for anti cholinergic drugs to help with antispasmodics?

Answer 25

Avoid in glaucoma
( increase that eye pressure )

GI or urinary obstruction
( slows GI down )

Question 26

Practice question 1
Which medication is indicated in the treatment of hypotonic or atonic bladder?

Bethanechol
Oxybutynin
Tolterodine
Solifenacin

Answer 26

Bethanechol