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Med Surg > Urinary System > Flashcards

Urinary System Flashcards

1
Q

If the patient has tenderness when you percuss the CVA what does that indicate?

A

upper UTI

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2
Q

IF a patient experiences dysuria what does that indicate?

A

lower UTI

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3
Q

What causes a positive urinalysis/urine dipstick?

A

nitrates, leukocytes, RBC, glucose, protein, or pH > 8.0

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4
Q

What is the minimum amount of fluids someone should consume in a day?

A

1800 mL

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5
Q

What is the progression of meds for UTIs?

A
  1. Bactrum/Septra
  2. Cipro
  3. Leviquin
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6
Q

What medication is used to treat dysuria?

A

Pyridium

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7
Q

What patient teaching do you need to give for someone for Pyridium?

A

turns urine orange

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8
Q

What diet do you recommend for someone with an UTI?

A

acid-ash diet (starches and proteins)

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9
Q

What should someone increase their fluid intake to when they have an UTI?

A

3-4 L

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10
Q

What are the 3 main symptoms of pyelonephritis?

A
  1. fever
  2. unilateral flank pain
  3. vomiting
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11
Q

What is the progression of meds for pyelonephritis?

A
  1. Cipro
  2. Ampicillin/Vancomycin
  3. Septra/Bactrum
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12
Q

What is urethritis caused by?

A

STIs

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13
Q

Antibiotics for UTI with urethritis ?

A

Septra –> Diflucan

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14
Q

Antibiotics for Trichomonas

A

Flagyl or Clotrimazole

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15
Q

Antibiotics for Chlamydia

A

Doxycycline or Azythromycin

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16
Q

What are the s/s of urethritis?

A

lower UTI w/ pyuria (NO FLANK PAIN)

17
Q

What is interstitial Cystitis?

A
  • “painful bladder syndrome”

- chronic inflammatory condition of the bladder that leads to reduced bladder capacity

18
Q

What are the s/s of interstitial cystitis?

A

urgency, suprapubic pain, dysuria, dysparenuria, nocturia, possible ulcers in bladder wall

19
Q

What is the treatment for interstitial cystitis?

A
  • providing emotional support is the main treatment
  • tramadol, NSAIDS, and antispasmodics might help with pain
  • TCAs
20
Q

What type of diet do you recommend for someone with interstitial cystitis?

A

Elimination diet

21
Q

Calcium Glycerophosphate (Prelief)

A

helps process foods that would otherwise be hard to manage

Med Surg (7 decks)

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