NURS 488 Lecture Notes - Lecture 8: Renal Replacement Therapy, Interstitial Cystitis, Urinary Incontinence
31 Oct 2017
School
Department
Course
Professor
Document Summary
Lewis text - chapters 48, 49, & 52. Once a uti has been diagnosed, antimicrobial therapy is initiated. May be selected based on hcp judgment or results of sensitivity testing. Short term course of antibiotics for 1-3 days for uncomplicated cystitis. Complicated utis require longer treatment- lasting 7-14 days or longer. Antibiotic: 1-3-day treatment regimen (tmp-smx or nitrofurantoin) Urinary analgesic such as phenazopyridine or combination agent. Counselling about risk of reoccurrence and reduction of risk factors. Repeat urinalysis and consider need of urine culture and sensitive testing. Antibiotic 3-5 day treatment regime (tmp smx, nitrofurantoin, sensitivity guided antibiotic (ampicillin, amoxicillin) Consideration of 3-6 month trial of suppressive antibiotics. Urinary analgesic such as phenzopyridine or combination agent. Trimethoprim-sulphamethoxazole (tmp-smx) or nitrofurantoin is often used to treat uncomplicated or initial utis. Nitrofurantoin is usually given 3-4 times a day but long-acting preparation. Ampicillin or amoxicillin= not typically used because the must be administered 3-4 times daily.
