UTI Flashcards
Risk factors for UTI
Stool incontenance
bladder distention
uriniary conditions
genetics
disease
alkaline urine-bacterial growth
urinary catheter
Who gets them
females
older people
Reasons Females get them
short urethra
decreased estrogen
sex
lube use
pregnancy
ill fitting diaphragm
hormonal influence
synthetic underwear
wet bathing suits
submersion in baths frequently
why do old people get them
risk for bacteria
sepsis and shock
bladder prolapse
inability to empty bladder
fecal incontinence
hypoestrogenism
renal complications
What will you see with UTI
lower back/abdominal pain
urinary frequency or urgency
dysuria bladder cramping spasms
feeling of incomplete pee
itching
hematuria
pyuria
fever
vomiting
voiding small amounts
nocturia
urethral discharge
cloudy/foul urine
Signs of UTI in older adults
Confusion
incontinence
loss of appetite
nocturia dysuria
hypotension
tachycardia
tachypnea
fever
Lab tests UTI
Urinalysis
bacteria sediment WBC RBC
Positive leukocyte 68%-88%=positive
Nursing actions
proper technique for clean catch
collect catheterized urine specimens using sterile technique
What diagnostics are used for UTI’s
Cytoscopy
What medications are used for UTI’s?
Fluoroquinolones, nitrofurantoin, trimethoprim, or sulfonamides Antibiotics. ● Penicillins and cephalosporins are administered less frequently because the medication is less effective and tolerated. ● Nitrofurantoin is an antibacterial medication where therapeutic levels are achieved in the urine only.
Fluoroquinolones, nitrofurantoin, trimethoprim, or sulfonamides
Antibiotics used to treat urinary infections by directly killing bacteria and inhibiting bacterial reproduction.
Penicillins and cephalosporins
are administered less frequently because the medication is less effective and tolerated.
Nitrofurantoin
is an antibacterial medication where therapeutic levels are achieved in the urine only.
if a sulfonamide is prescribed, ask the client about
ask the client about allergy to sulfa.
Advise clients taking fluoroquinolones or sulfonamides
sun-sensitivity is increased and sunburn is a risk for even dark-skinned individuals. These medications can precipitate in the renal tubules, so advise client to take these medications with a full glass of water and to increase fluid intake.
