Term
What is second most common bacterial disease? |
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Definition
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Term
What is the most common causative organism of UTIs? |
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Definition
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Term
What is the mortality rate of UTIs? |
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Definition
15% die from gram negative bacteria. |
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Term
What are the 3 sites of infection for UTIs? |
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Definition
1. Pyelonephritis. 2. Cystitis. 3. Urethritis. |
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Term
Upper UTIs involve what structures? |
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Definition
1. Renal parenchyma. 2. Pelvis. 3. Ureters. |
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Term
What are the s & sx of upper UTIs? |
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Definition
1. Fever. 2. Chills. 3. Flank pain. |
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Term
What are the s & sx of lower UTIs? |
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Definition
No usual systemic manifestations only localized symptoms. |
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Term
What are the 6 different UTI classifications? |
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Definition
1. Uncomplicated infection. 2. Complicated infection. 3. Initial infection. 4. Recurrent infection. 5. Unresolved bacteriuria. 6. Bacterial persistence. |
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Term
How are recurrent infections treated? |
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Definition
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Term
Unresolved bacteriuria can lead to what 2 things? |
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Definition
1. Sepsis. 2. Chronic UTI. |
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Term
Complicated UTI can cause an infection in what? |
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Definition
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Term
What are the 5 causes of complicated UTI? |
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Definition
1. Ureter obstruction. 2. Stones. 3. Catheters. 4. DM or neurologic disease. 5. Recurrent infection. |
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Term
What are 6 predisposing factors that can lead to UTI? |
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Definition
1. Factors increasing urinary stasis. 2. Foreign bodies. 3. Anatomical factors. 4. Sexual intercourse. 5. Immunosuppression. 6. Functional disorders. |
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Term
What are 5 clinical manifestations of UTI? |
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Definition
1. Dysuria > every 2 hours. 2. Hematuria/cloudy urine. 3. Flank pain, chills, and fever indicated pyelonephritis. 4. Significant bacteriuria. 5. Bladder tumors. |
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Term
What are the 4 clinical manifestations of UTI in the older adult? |
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Definition
1. Could be asymptomatic. 2. Non-localized abdominal discomfort rather than dysuria. 3. May have cognitive impairment. 4. Less likely to have fever. |
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Term
What are the 3 UTI diagnostic studies? |
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Definition
1. Urinalysis. 2. Urine culture and sensitivity. 3. Imaging studies in some cases. |
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Term
Before performing a urinalysis what should you have the patient do before hand? |
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Definition
Have patient clean perineal area. |
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Term
What are the 4 drug therapies for UTI? |
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Definition
1. Trimethoprimsulfamethoxazole or nitrofurantoin. 2. Pyridium. 3. Combination agents. 4. Prophylactic or suppressive antibiotics. |
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Term
Which drug is used to treat uncomplicated UTI? |
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Definition
Trimethoprimsulfamethoxazole or nitrofurantoin. |
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Term
What are the 2 nursing diagnoses for UTI? |
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Definition
1. Acute pain (#1 always in this case). 2. Impaired urinary elimination. |
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