Chapter 51: Urinary Disorders Flashcards
What is cystitis?
Inflammation of bladder
What is uthritis?
Inflammation of the urthrea
What is pyeloneprhitis?
Inflammation of the kidney
Upper urinary tract infection
Who is most like to have urinary tract infections?
Gender wise
Females
Why is female more likely to get UTI than male?
Shorter urthrea
What is the most common organism to cause UTI?
E. coli
It’s unlikely for men to have uti, usually it’s what other two things?
Prostatisis
Cystitis
What is the biggest symptom of pyelonephritis? (2)
Flank pain
High fever
Pregnancy usually go to the bathroom a lot so many things will go?
Un notice
What are the antics and antiseptics we will be talking about urinary issues? (8)
Trimethroprim-sulfamethoxazole
Methenamine
Nitrofurantion
Fluoroquinolones
Phenazopyridine
Bethanechol
Antispamodics
Antimuscarinics
Trimethoprim- trimethroprim
Sulfamethoxazole
What does it do?
Very famous to causing what? (4)
Antibiotics
Crystals in the urine
Steven Johnson syndrome
Blood dysguris
Hepatic necrosis
Photosensitivity
What is methenamine?
What does it do ^
Famous for causing what too?
Bring down the ph of the acidic
( making the bladder in hospital )
Crystals in the urine
Since both sulfa and meth cause crystals in the urine what do we recommend?
Drink a lot of fluid
(2k-3k ml )
What is nitrofurantoin do?
Urinary anti septic
Doesn’t treat anything but UTI
Usually just stays there
What are the side effect is nitrofurantoin? (7)
Urine discoloration ( brown ) !!
Elevated hepatic enzymes
Dyspnea !!!!!!
( wheezing, SOB )
Chest pain
Cough
Fever
Chills
What is fluoroquinolones?
What is it famous for casuing?
Antibiotics
Tendon rupture
( tendinitis , peripheral neuropathy, cns effects, exacerbations, photosensitivity )
We usually don’t like taking antacids with these medication why?
They decrease its effectiveness
Urinary analgesics
What the medication?
What does it help with?
Phenazopyridine
Helps decrease burning and urgency
What does Phenazopyridine side effect? (4)
Contact lens and urine discoloration
( ORANGE ! )
Renal toxicity
hepatic toxicity
Alter glucose in urine
( so check glucose )
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 !!
Urinary stimulants
What’s the medication?
Benthanechol
Benthanechol action?
Meaning what?
Dont give to who?
Helps the tone of the bladder
Help you pee better
Peptic ulcers !!
Urinary antispasmodics
Action is anticholinergic drugs!!
Just help relieve bladder spams
Meaning it does what?
Relax the muscle
Relive those bladder spams
What are the 3 urinary antispasmodics side effects?
Blurred vision
Insomnia
Urinary retention
What are the 2 contraindications for anti cholinergic drugs to help with antispasmodics?
Avoid in glaucoma
( increase that eye pressure )
GI or urinary obstruction
( slows GI down )
Practice question 1
Which medication is indicated in the treatment of hypotonic or atonic bladder?
Bethanechol
Oxybutynin
Tolterodine
Solifenacin
Bethanechol
