T3-Urinary Tract Infections

Question 1

What are 5 types of UTIs?

Answer 1

• Acute Cystitis
• Acute uncomplicated pyelonephritis
• Complicated UTI
• Recurrent urinary infections
• Acute bacterial prostatitis

Question 2

What type of UTI:
Bacteuria
Chills
Dysuria
FLANK PAIN
Fever 
Pyuria
Urinary frequency and urgency

Answer 2

Acute uncomplicated pyelonephritis

Question 3

What type of UTI:
Fever
Chills
MALISE
MYALGIA
LOCALIZED PAIN
various UTI symptoms

Answer 3

Acute bacterial prostatitis

Question 4

What type of UTI:
Systemic illness manifesting as FEVER
BACTEREMIA
SPECTIC SHOCK

Answer 4

Complicated UTI

Question 5

What type of UTI:
Bacteruria 
Dysuria
Pyuria
SUPRAPUBIC DISCOMFORT
Urinary urgency and frequency

Answer 5

Acute Cystitis

Question 6

What type of UTI:

May be due to sexual intercourse or use of contraceptive diaphragm

Answer 6

Recurrent urinary infection

Question 7

What is the common use for Nitrofurantoin?

Answer 7

UNCOMPLICATED UTI

Question 8

Who is nitrofurantoin contraindicated in and why?

Answer 8

Patients with renal impairment; they don’t excrete well so it can lead to drug accumulation (toxicity) PLUS not enough gets in the urine (where we need it to go to treat the infection)

Question 9

What is client teaching for those taking Nitrofurantoin?

Answer 9

TAKE WITH FOOD (will increase absorption by 40%)

May turn the urine brown (okay and harmless for this drug)

Question 10

What are the [rare] adverse effects of Nitrofurantoin?

Answer 10

• Liver failure–look for jaundice
• Optic neuritis, peripheral neuropathy (tingling in the periphery)
• Lung fibrosis (difficulity breathing)
• Hemolytic anemia (weak, tired, SOB)