UTI Flashcards
what is the most common bacteria to cause UTI
e coli
what is a lower uti
involving blader and urethra
what is upper uti
involving kidneys and ureters (pylonephritis)
lower uti includes bacerial…
cystitis
prostatitis
urethritis
what is the most common route of lower uti
transurethral
s&s of lower uti
burning while urinating
frequency and urgency (every 3 hrs)
nocturia
incontinence
suprapubic, pelvic, and or back pain
hematuria
older adults: altered mental status
diagnostics for lower uti
clean catch urine specimen
urinalysis
urine culture and sensitivity
STI testing
elevated WBC
CT scan/pelvic ultrasound
what is looked at for a urinalysis
leukocyte esterase
nitrite
WBC, RBC
epithelial cells
what is important education for a clean catch urine specimen
mid stream catch
wipe b4
management for lower uti
antibiotics
increase fluids
avoid urinary tract irritants
frequent voiding
monitor for urosepsis and acute kidney injury
what are upper uti
most common cause of urosepsis
pyelonephritis: bacterial infection of renal pelvis, tubules, and interstitial tissue of 1 or both kidneys
acute and chronic
what are the s&s of acute pyelo
fever/chills over 101
increased wbc
tachycardia and tachypnea
flank and or lower back pain
CVA tenderness
nausea and vomiting
headache
malaise and fatigue
burning, urgency, and frequency of urination
tests for acute pyelo
positive urinalysis for uti
blood cultures
wbc
ESR/CRP
BUN/Cr (kidney fx)
GFR
what is normal serum creatinine for males and females
m: .6-1.2
f: .5-1.1
what is normal BUN
10-20
