NR 602 Final Wk 7 GI/GU/Endocrine Exam 100% Correct!!
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Course
NR 602
Institution
NR 602
Urinary Tract Infection (UTI)
1. Newborn s/sx:
2. Infants and young children s/sx:
o E. coli is the leading cause of UTI in pediatrics
UTIs are the most common cause of serious bacterial infection in infants younger than 24 months old with fever without a focus. - ANSWER1. jaundice, sepsis, F...
NR 602 Final Wk 7 GI/GU/Endocrine
Exam 100% Correct!!
Urinary Tract Infection (UTI)
1. Newborn s/sx:
2. Infants and young children s/sx:
o E. coli is the leading cause of UTI in pediatrics
UTIs are the most common cause of serious bacterial infection in infants younger than 24 months old
with fever without a focus. - ANSWER1. jaundice, sepsis, FTT (fail to thrive), vomiting, or fever
2. fever, strong-smelling urine, hematuria, abdominal or flank pain, and new onset of urinary
incontinence
Types of UTI
1. Asymptomatic bacteriuria is bacteria
2. Cystitis is an infection of the
3. Pyelonephritis is the most severe type of UTI involving the - ANSWER1. in the urine without other
symptoms is benign, and does not cause renal injury; no tx necessary if no leukocytes
2. bladder that produces lower tract symptoms but does not cause fever or renal injury; use standard
Short-term (3 to 5 days)Abx therapy; Children 2 to 24 months old and febrile children should have 7
to 14 days
3. renal parenchyma or kidneys and must be readily identified and treated because of the potential
irreversible renal damage.
Clinical Signs of Pyelonephritis - ANSWER· Fever
· Irritability, and vomiting in an infant
· Urinary symptoms associated with fever, bacteriuria, vomiting, and renal tenderness in older
children.
Tx of Pyelonephritis
1. Hospitalization is required depending on severity of symptoms such as—
2. Children (blank) younger should be admitted and provided a parenteral regimen.
3. Infants over 1 month and children with uncomplicated pyelonephritis (well hydrated, no vomiting,
no abdominal pain) can be effectively treated with
4. Adolescents with uncomplicated pyelonephritis can be treated with either (blank) or (blank) -
ANSWER1. dehydrated, vomiting, or not drinking.
2. 1 month old and
, 3. cefixime, cephalexin, or amoxicillin clavulanate
4. amoxicillin clavulanate (875/125 mg twice a day) or ciprofloxacin (500 mg twice a day or extended
release 1000 mg once a day
F/u C&S for Pyelonephritis
1. If the culture is not sterile or if no clinical improvement is seen,
2. if not performed initially, Urine should be sent for bacterial identification and sensitivity studies
and
3. Culture should again be repeated after - ANSWER1. symptoms persist or organism resistance is
found in the community; antibiotic change should be based on the sensitivity report
2. an alternative broad-spectrum antibiotic should be used pending those results
3. 48 to 72 hours if the response to therapy limited.
o Education to prevent UTIs
1. Complete voiding, increased fluid intake,
- 2. Avoid
- 3. Avoid irritants such as
- 4. Avoid bladder irritants foods such as: - ANSWER1. scheduled voiding times (with knees spread
apart) or double voiding
2. wearing tight pants, wear cotton underwear
3. bubble baths, sitting in soapy water, and perfumed soaps
o : urethral meatus in on the underside of the penis
Treatment: surgical repair at 6-12 mo old usually w/ foreskin
- A family history of a male relative with GU problems may be reported.
- other findings include inguinal hernia or undescended testicles (10%), and/or chordee -
ANSWERHypospadias
o Undescended Testes
- A family history of a male relative
- Having the child sit cross-legged, frog-legged, squat, or stand can facilitate testicle descent and
palpation
Treatment: surgical between 9 and 15 months - ANSWERCryptorchidism
o painless scrotal swelling
- a collection of serous fluid in the scrotal sac
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