Genitourinary Infections for Certified Emergency Nursing (CEN)
Included In This Lesson
Study Tools For Genitourinary Infections for Certified Emergency Nursing (CEN)
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:
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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
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.