Genitourinary Infections for Certified Emergency Nursing (CEN)

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Study Tools For Genitourinary Infections for Certified Emergency Nursing (CEN)

Urinary System Anatomy (Cheatsheet)
Anatomy of Urinary System (Image)
Urinary Tract Infection Prevention and Treatment (Picmonic)
Urinary Tract Infection Symptoms (Picmonic)
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Outline

Genitourinary Infections

 

Definition/Etiology:

  • Primarily affects bladder (acute cystitis)
  • Most common organism E. coli
  • Women – Higher risk than men, shorter urethras, New sexual partner
  • Men – Incomplete bladder emptying, Enlarged prostate

 

Pathophysiology:

???

 

Clinical Presentation:

  • Dysuria, burning, urgency, frequency, nocturia
  • Suprapubic pressure or low back pain
  • Urine may be cloudy, foul-smelling
  • Possible low-grade fever
  • Urinary retention in males
  • Altered mental status (AMS) may be only symptom of the UTI in elderly

Urosepsis:

  • Elderly, diabetics, immunocompromised at higher risk
  • Present atypically; altered mental status may be only symptom of UTI in the elderly patient

 

Collaborative Management:

Assessment:

  • Urinalysis – hematuria, WBCs, Positive leukocyte esterase, Nitrite
  • CBC with differential

Interventions:

  • Antibiotics
  • Trimethoprim and sulfamethoxazole
  • Nitrofurantoin
  • Ciprofloxacin

Pain management:

  • NSAIDs
  • phenazopyridine

 

Evaluation | Patient Monitoring | Education:

Discharge teaching:

  • Encourage fluid intake
  • Phenazopyridine will turn urine bright orange

 

Linchpins: (key Points)

  • Urgency/Frequency
  • If left untreated, common symptoms can lead to Pyelonephritis
  • Be sure to finish antibiotics

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

  • Savone, D. (2017). Genitourinary, Gynecology, and Obstetrical Emergencies. In CEN Online Review. Emergency Nurses Association.

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