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urinary tract disord
patho, tx methods, s/s, nursing intervn, pyelonephritis,prostatitis, cystitis,
Question | Answer |
---|---|
prevent UTI | 2-3L daily, avoid coffee teas cola alcohol, shower instead of bathe, cleanse the peritoneum after each bowel movement, avoid irritating substances, void q 2-3 hurs awake and empty bladder each time, wear cotton underwear. |
Bacteriuria | most common nosocomial infction, associataed with use of urinary catheters, |
gram negative microorganisms | E. coli, Klebsiella, Proteus, or Pseudomonas, infecting the urinary tract via the urinary meatus, normally flushing of urine functionally clears bacteria before infection begins |
UTI is also caused by gram positive microorganisms and yeast, why is UTI common in older pts? | older patients experience bladder obstruction, insufficient bladder emptying, increased perineal soiling in females, Immobil9ity and sensory impairmentf |
what are conditions contributing to urinary stasis? | urinary obstruction, neurogenic bladder, ureteral or urethral reflux, sexual intercourse |
other factors allowing the concentration of bacteria? | HTN, spinal cord injuries, multiple sclerosis, Diabetes Mellitus, |
increased risk of UTI in LUTI especially if left what? | if left untreated |
s/s of UTI | urgency, freq burning with urination, dysuria, hematuria, |
urethritis | common in men, classified by the presence or absence of gonorrhea, otherwise called nonspecific urethritis if not caused by gonorrea (NSU)-commonly caused by chlamydia trachmatis |
female causes of urethritis | accompanies cystitis in women, secondary to vaginal trichomonal or monoilial infections |
male causes of urethritis | irritation of urethra during vigorous intercourse, rectal or vaginal intercourse with a female with trichomonal or monoilial infection, instrumentation,, catherterization, or cystoscopy |
gonorrhea | attacks the mucous membrane of the urethra |
s/s of gonorrhea | dysuria, tickling to burning, urinary freq, urethral pruitis, urethral discharge, vulvar irritation, in males fever implies infection to prostate, testes, and epididymitis |