Cystitis (UTI) treatment Flashcards
What are examples of antibiotics to give?
- Sulfonamides
- Flioroquinolones
- Penicillins
- Cephalosporins
- Fosfomycin
What are the 2 types of sulfonamides?
Trimethoprim
Sulfamethoxazole
SE of sulfonamides?
Ask about sulfa allergies!
What are the examples of fluoroquinolone?
Ciprofloxacin
Levofloxacin
Fluoroquinolones (ciprofloxacin, levofloxacin)
Why can’t we give to ppl who run?
Tendon problems
Fluoroquinolones (ciprofloxacin, levofloxacin)
Swallow or crush?
Swallow if extended release!
Fluoroquinolones (ciprofloxacin, levofloxacin)
Do not take this drug within 2 hours of an ___
Antacid
Fluoroquinolones (ciprofloxacin, levofloxacin)
Can cause what?
Cardiac dysrhythmias
*teach pt. to monitor pulse
Fluoroquinolones (ciprofloxacin, levofloxacin)
Increased sensitivity to sun–teaching?
Keep out of sun
Wear protective clothing/sunscreen
What are ex. of penicillins?
- Amoxicillin
- Amoxicilling/clavulanate
Penicillins (Amoxicillin & Amoxicilling/clavulanate)
Risk for ___ so teach pt to take when?
GI upset –take with food
Penicillins (Amoxicillin & Amoxicilling/clavulanate)
Monitor for what?
Watery diarrhea
Penicillins (Amoxicillin & Amoxicilling/clavulanate)
Negates effects of what?
BC–use other forms!
Penicillins (Amoxicillin & Amoxicilling/clavulanate)
T/F: Must complete all the drug regimen
T
Cephalosporins (cefdinir, cefaclor, cefpodoxime)
Monitor for what?
Watery diarrhea
Cephalosporins (cefdinir, cefaclor, cefpodoxime)
T/F: COmplete full drug regimen
T
Teaching for fosfomycin?
Min in 1/2 cup of cold water
Avoid taking fosftomycin when also taking ____ or any drug that does what?
Metoclopramide or any drug that increases GI motility (reduces absorption of drug)
What drug to give in addition to an antibiotic?
Phenazopyridine –helps with pain during urination
What does phenazopyridine do?
Helps with pain during urination
Teaching when also taking phenazopyridine with your antibiotic?
Do not wear contacts; it will stain them–also can cause urine discoloration
Pt. teaching about eating/drinking?
- Eat yogurt
- Increase fluid intake
- Do proper hygiene
- Drink can juice
Complications?
- Recurrent infections
- Permanent kidney damage from acute or chronic infection (pyelonephritis) due to untreated UTI
- Increased risk for pregs to deliver LBW or premature infants