GU 3 Flashcards
proteinuria is defined as
the excretion of >150 mg/day of protein
gold standard test for measuring protein excretion of the kidneys is
24 hour urine collection
four types of proteinuria
glomerular
tubular
overflow
postrenal
UTI - urine C&S organism growth will show
100,000 CFU/mL (or 10(5) CFU/mL) of a single organism or 100,000 CFU/mL of one organism and growth of a second organism 50,000 or more
UA is positive for bacteriuria if value is
> 100,000 CFU/MI
first line meds for patients w/o risk factors UTI
3
macrobid 100 mg BID x 5 days
Bactrim, Septra 160/800 mg BID x 3 days
fosfomycin (Monurol) 3 G x 1 dose
UTI abx alternatives include
2
cirpofloxacin BID
levofloxacin (Levaquin) daily x 3 days
UTI - if symptoms persist 48-72 hours after starting abx do what
order urine C&S to r/o pyelonephritis, consider switching to another abx drug class and tx for 7-10 days
UA - dx characteristic for UTI
> 100,000 CFU/mL of one organism
the use of ____ can increase the risk of UTIs in women
spermicides
UTI in males - if sexually active, r/o what
gonorrhea and chlamydia infection - use NAAT
UTI in males is diagnosed by
classical clinical manifestation and pyuria and bacteriuria on UA and urine C&S
male UTI - abx choices
3
nitrofurantoin
bactrim
fosfomycin
long term use of nitrofurantoin is associated with
3
lung problems
chronic hepatitis
neuropathy
nitrofurantoin is contraindicated with
renal insufficiency
