GU COPY Flashcards
Symptoms of Cystisis
- urgency
- frequency
- Dysuria
- Pressure/fullness in the suprapubic area
- Back pain
The provider is assessing a patient who is presenting with symptoms of uncomplicated cystitis what would be the first line treatment?
- Bactrim (3days)
- Marcobid (5 days)
- Fosfomycin (1 gram, once)
The provider is assessing a patient who is presenting to the ER with symptoms of uncomplicated cystitis, they can not take any of the first line treatments, what would the prescriber use?
- Ciprofloxacin (3 days)
2. Levofloxican (3 days)
A patient presents with complicated cystitis, what would the provider prescribe?
- Ciprofloxacin (7 days)
2. Levofloxacin (7 days)
A patient presents to the ER with signs of polynephritis, what does the provider prescribe?
- Ciprofloxacin (10-14 days)
2. Levofloxacin (10-14 days)
What is an alternative therapy that can be used to treat cystitis and polynephritis
Amoxicillin- Clavulanate (Augmentin)
Symptoms of polynephritis
- Flank pain
- Nausea
- Vomiting
- Fever (100.4)
Along side an antibiotic for treatment of cystitis a provider might prescribe a urinary analgesic, what are their names?
- Phenzapyridine (Pyridium) 200 mg TID
- Azo OTC 100 mg
- Flovxate (Uripas) 100-200 TID-QID
What are the adverse effects of taking AZO?
Discolors the urine red/orange
If you are prescribed floxvate (Uripas) how should you take this medication?
After meals
When a prescriber is treating an elderly patient for a UTI what are some considerations they may think about?
- UTI’s are commonly asymptomatic, but are considered a strong diagnostic finding is a patient has altered mentation.
- Elderly are at increased risk for UTIs due to immobility, cormobities, etc.
When a provider is assessing and treating a pregnant women for a UTI what are some clinical considerations should the provider know
- Usually Asymptomatic (7%), polynephritis develops in 30%.
2. Untreated UTI’s can contribute to prematurity or still born births
What is the treatment for UTI’s in pregnant women and is considered safe for the fetus?
Amoxicillin
What are other agents the provider could prescribe to a pregnant woman with a UTI?
- Cephalexin
- Macrobid
- Sulfonamides
What is the preferred time frame for a prescriber to treat a pregnant woman with nitrofurantoin (Macrobid)
Only the second and third trimester, stop at 38 weeks or if the mother is about to give birth. Patient will receive too much of this medication
What is the preferred time frame for a prescriber to use a sulfonamide to treat a UTI in a pregnant patient and why?
ONLY THE SECOND TRIMESTER. Women can not take this medication in the first trimester because it is a folic acid inhibitor and the baby needs folic acid for brain and spinal cord development
Special Considerations when it comes to children with UTI’s
treat them quickly because there is an increased risk of renal scarring in children under 5 years old
Preferred treatment of UTI’s for children
Augmentin, Bactrim, cephalexin or cefpodximine
What is the chief organism behind acute bacterial prostatitis
- E. coli
- Pseudomonas
(sometimes strep and staph)
What are the chief organisms behind chronic bacterial prostatitis
- E.coli
- pseudomonas
- Klebsilla
- Enterococcus
What is the treatment the provider will prescribe to a patient who is at risk for sexual transmitted diseases with prostatitis?
Cefetriaxzone IM+ Doxycycline for 10 days
What is the treatment the provider will prescribe to a patient who is not at risk for sexually transmitted infections with prostatitis
- Ciprofloxacin (10-14 days)
2. Levofloxacin (10-14 days)
Diagnostic tool used for Benign Prostatic Hyperplasia
American Urological Association Index
When assessing a patient with BPH the provider uses the AUASI to properly diagnosis the patient, upon assessment the patient is know to be in the mild stage, what is the points scored?
Mild 0-7 points