Phram: Chapter 89
25% to 35% of ____________ develop at least one UTI a year
sexually active young women
30% to 50% of ____________ have bacteria at any given time
older adult women in nursing homes
Pyridium is a urinary tract anesthetic that relieves ___, ___, ____, and improves __.
pain, brining, itching; comfort
Which of the following patients would most likely need intravenous antibiotic therapy to treat a urinary tract infection? A. a patient with an uncomplicated urinary tract infection caused by Escherichia coli B. A patient with pyelonephritis with symptoms of high fever, chills, and severe flank pain C. A patient with acute cystitis complaining of dysuria, frequency, and urgency D. A patient with acute bacterial prostatitis with a mild fever, chills, and posturia
B
Which drug does the nurse identify as a urinary tract antiseptic? A. Ciprofloxacin B. Ceftriaxone C. Nitrofurantoin D. Ceftazidime
C
many drugs, including _____, ____, and ____ may be used for parenteral therapy of UTIs
penicillins, cepahlosporins, and fluoroquinolones
Except for _____, most UTIs can be treated with oral therapy at home
pyelonephritis
_______ Is the most common cause of uncomplicated, community-associated UTIs
Escherichia coli
adverse effects of nitrofurantoin (Macrobid) include: ____ upset, _____ color urine, and peripheral _____
GI; brown/rust; neuropathy
Pyridium turns urine _______
reddish-orange
at low concentrations, nitrofurantoin (Macrobid) is _____, and at high concentrations, nitrofurantoin (Macrobid) is _____
bacteriostatic; bactericidal
methenamine has no resistance and is used for _________. It is readily _____; it is eliminated by the ____ and it is relatively safe and generally well tolerated, _________ occurs occasionally
chronic infection of lower urinary tract; absorbed; kidneys; gastric distress
UTI occurrence in males is most likely associated with ______(eg. septicemia, pyelonephritis)
complications
(True or False) Pyridium is an antibiotic?
false (Pyridium is not an antibiotic and will not change the course of infection)
_______ UTIs are cause by klebsiella, proteus, enterobacter, pseudomonas, staphylococci, enterococci, and E. coli
hospital-acquired
UTIs are (more/less) frequent in males?
less (men have longer urethras)
prophylaxis of recurrent UTI can be achieved with daily _______ of oral antibiotics (eg. trimethoprim/sulfamethoxazole)
low doses
nitrofurantoin (Macrobid) is used for
lower tract UTIs
_____, a urinary tract antiseptic, is a drug of choice for uncomplicated cystitis
nitrofurantoin
three urinary tract antiseptics
nitrofurantoin (Macrobid), Methenamine, Pyridium
_________ and ______ are frequently the treatment of choice for oral therapy of UTIs
trimethoprim/sulfamethoxazole (TMP/SMZ) and nitrofurantoin
80% of ___________________ UTIs are caused by Escherichia coli
uncomplicated, community-acquired
second most common infection
urinary tract infection (UTI)