NSG 3336 Lecture Notes - Lecture 63: Prolapse, Klebsiella Pneumoniae, Urinary Urgency
Document Summary
Coordinating care for patients with urinary disorders (63): Epidemiology > more common in females ages 18-30 due to the short urethra and close proximity of vagina and rectum. Risk factors = sexual activity, diabetes, poor hygiene, estrogen de ciency, recent catherizations, incomplete bladder emptying, and foreign objects; pelvic organ prolapse. Pathophysiology = bacteria enters the sterile bladder causing in ammation. Even though prevalence is greater in females, the risk increases as men age due to prostatic enlargement. Clinical manifestations = bladder irritability or painful urination, frequency, urgency, urinating in small volumes, cross hematuria, or microhematuria and suprapubic pain. Systemic symptoms > fever, nausea, vomiting, and ank pain = migration of infection to kidneys. Wbcs and rbcs present in urine due to in ammation. Nitrates due to bacteria concerting nitrate to nitrite. Urine culture greater than 100,000 bacteria indicates infection > e. coli, Treatment > rst-line treatment is antimicrobial therapy but depends on culture.
