Renal disorders (Kidney stones)

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Author:
alyn217
ID:
200059
Filename:
Renal disorders (Kidney stones)
Updated:
2013-02-12 15:30:46
Tags:
AMS2T1
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Description:
Adult MedSurg 2
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  1. What are some etiologies of cystitis/urethritis?
    • Ascending infection by a single
    • gram-neg enteric bacterium
    •  • E. coli, Klebsiella, Proteus, Enterobacter,
    • Pseudomonas, Serratia
    • Simultaneous infection with multiple pathogens
    • • Neurogenic bladder, indwelling urinary catheter, or a fistula between intestine and bladder
    • Breakdown in local defense
    • mechanisms 
  2. What are some diagnostic options to test for UTI?
    • Characteristic clinical features and a
    • microscopic urinalysis showing RBCs and WBCs > than 10/high- power field
    • Clean midstream urine specimen with bacterial count > 100,000/ml
    • Note: Lower counts do not
    • necessarily r/o infection because bacteria require 30-45 min to reproduce in urine 
  3. How long do you have to be on antibiotics for UTI typically?
    • 7-10 day course is standard, however...
    • Recent studies show single dose or 3-5 day antibiotic regimen may be sufficient to render urine sterile 
  4. What can you do to help prevent UTI?
    • Men:
    • Urge prompt treatment of predisposing conditions (chronic prostatitis) 
  5. Women:
    • Wipe perineum front to back
    • Clean thoroughly with soap and water after defecation
    • Void after intercourse
    • Void frequently 

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