Urologic problems exam 4 Flashcards

1
Q

what bacteria causes the most UTIs

A

E.coli

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2
Q

bacteriuria

A

bacteria in the urine not causing an infection

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3
Q

urethritis

A

infection in the urethra

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4
Q

cystitis

A

infection of the bladder

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5
Q

S/S of UTI

A
urgency
frequency
dysuria
hematuria 
cloudy/foul 
fever/chills/fatigue
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6
Q

UTI protective factors

A

pH = acidic
presence of urea
men = prostatic secretions

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7
Q

UTI risk factors

A
CAUTIs 
females higher risk 
perineal irritation (incontinence)
sexual activity 
age 
obstruction or reflux - if urine can not get out
immobility 
decreased cognition
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8
Q

manifestations for UTI; urethritis

A

dysuria = difficulty/painful urination

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9
Q

manifestations for UTI; cystitis

A

frequency
urgency
suprapubic discomfort
dysuria

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10
Q

atypical UTI manifestations; children

A

fever
poor feeding
diarrhea
ill appearance

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11
Q

atypical UTI manifestations; elderly

A
anxiety
confusion
lethargy
anorexia
history of falling
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12
Q

what is phenazopyridine used for

A

relief of PAIN due to UTI

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13
Q

what is the MOA for phenazopyridine

A

dye used in paint; local analgesic action

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14
Q

SE of phenazopyridine

A

reddish-orange urine

well tolerated

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15
Q

what is overactive bladder

A

muscles of the bladder contract involuntarily even when urine volume is low
-sudden urge to urinate

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16
Q

causes of overactive bladder

A
neurological disorders
diabetes
UTIs 
hormonal changes 
tumors/stones
obstructions
17
Q

what is mirabegron used for

A

overactive bladder

18
Q

MOA of mirabegron

A

selectively stimulates beta- 3 adrenergic receptors, relaxing bladder smooth muscle

19
Q

SE of mirabegron

A

HTN (MONITOR)
UTI
urinary retention
headache

20
Q

what is incontinence

A

involuntary urine loss

NOT A PART OF NORMAL AGING

21
Q

what is urgency incontinence

A

involves the involuntary leakage of urine immediately after a sudden sensation to urinate

22
Q

causes of urgency incontinence

A

overactive detrusor (smooth muscle of bladder) muscle that suddenly contracts
bladder infection that irritate bladder lining
drugs
CNS conditions

23
Q

what is stress incontinence

A

occurs when urine is involuntarily lost with increases in intraabdominal pressure

24
Q

causes of stress incontinence

A

loss of pelvic muscle AND/OR loss of fascial support of bladder and urethra

25
Q

why is incontinence a problem

A

can cause inflammation of the skin

  • redness, pain, itching
  • swelling, blisters, dryness
26
Q

what is oxybutynin used for

A

incontinence, over active bladder

27
Q

MOA for oxybutynin

A

block the action of acetylcholine; acetylcholine activates smooth muscle contractions

28
Q

SE of oxybutynin

A

dry mouth, incontinence