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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Week 3 : 8/09-8/15

Concepts Covered:

  • Respiratory Disorders
  • Acute & Chronic Renal Disorders
  • Renal Disorders
  • Upper GI Disorders
  • Neurologic and Cognitive Disorders
  • Urinary Disorders
  • Nervous System
  • Noninfectious Respiratory Disorder
  • Lower GI Disorders
  • Oncology Disorders
  • Respiratory Emergencies
  • Liver & Gallbladder Disorders
  • Infectious Respiratory Disorder
  • Neurological Emergencies
  • Emergency Care of the Neurological Patient
  • Neurological
  • Disorders of the Posterior Pituitary Gland

Study Plan Lessons

ABG (Arterial Blood Gas) Interpretation-The Basics
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology for Pancreatitis
Blood Brain Barrier (BBB)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Respiratory Acidosis (interpretation and nursing interventions)
Gastritis
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Metabolic Acidosis (interpretation and nursing diagnosis)
Electroencephalography (EEG)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Levels of Consciousness (LOC)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Hemodialysis (Renal Dialysis)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Lung Cancer
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Genitourinary (GU) Assessment
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Artificial Airways
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Asthma
Genitourinary Infections for Certified Emergency Nursing (CEN)
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)