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24 Cards in this Set

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What are the UTI treatments?Tx for cystitis in a healthy female
Young female: Bactrim x 3 days
Adult male: 7-14 days
Prostitis: x 4 weeks
Females with DM or kidney involvement: 5-7 days
Children: 10 days
What is given to reduce painful urination?
Pyridium 100mg BID x 2 days
What are the treatments for pyelonephritis?
IV fluids/Abx followed by 10 to 14 days oral Abx
When should you hospitalize a pt with pyelo?
IF:
Pregnant
DM
N/V
Kidney stones
Has Foley in place
Immunosuppressed
What's the MOA of FQ?
Inhibits DNA synthesis
T/F FQ is NOT recommended for kids
TRUE: it may retard growth
What is the spectrum of activity of FQ
Good for:
Pseudomonas
Strep
MRSA
Most Gram -

NOT good for Anaerobes
What are the side effects of Bactrim?
Megaloblastic Anemia due to folic Acid defficiency
Rash
What are the Drug interactions of Bactrim?
Increases PT when used with warfarin
What are the side effects of Microfurantoin?
Peripheral neuropathy
What are the contra indications of Macrodantin?
Reanal failure
What is the MOA of Macrodantin?
interferes with bacterial carbohydrate metabolism by inhibiting acetylcoenzyme A.

It is bacteriostatic at low concentrations (5-10 mcg/mL) and bactericidal at higher concentrations
Which Abx is great for skin infections?
Keflex

It is not the DOC for UTI
Potent antibiotic directed against gram positive organisms and active against Enterococcus species
Vancomycin
Hematuria, proteinuria, and HTN are seen in this condition
Glomerulonephritis
Scar tissue forms in the glomeruli; presents with foamy urine(protein loss), edema, weight gain, and high cholesterol
Focal segmental glomerulonephritis
Rapid progression of glomerulonephritis accompanied by cough and bloody sputum
Goodpasture's syndrome

Antibodies attact both, kidneys and lungs
Kidney biopsy shows crescent-shape deposits, anemia, immune deposits of IgG, IgM
Goodpasture's syndrome
IgA nephropathy
Bloody urine
Berger's disease
How do you treat Berger's disease
Ace inhibitors
Diuretics
MC type of MPGN
Antibodies deposit in the subendothelial layer of the glomerular membrane
Progresses slowly
MPGN I
involves deposits within the glomerular basement membrane (the "bottom" layer of the membrane).
MPGN II
Presence of complement C3 nephritic factor
MPGN I or II
develops 1-2 weeks after a throat infection
Post-strep GN