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)