Urine Culture
T/F a fever is automatically indicative of a urine culture order?
False
5 minutes ago, you put your patient back in bed after having a bowel movement on the bedside commode. Naturally, they call and ask for "one of those pee devices they saw on the TV" to pee. Is this appropriate?
No
What should we measure to see if a patient is retaining?
Post void residual
True or False. Alzheimers contributes to urinary incontinence
TRUE!
Dana
What is another culture that should be ruled out before ordering a urine culture with a patient on a fever?
Blood cultures
No
What is a common medical diagnosis for male patients that would attribute to urinary retention?
BPH
This type of urinary incontinence occurs when coughing, sneezing, laughing, or physical activity increases pressure on the bladder.
Stress urinary incontinence
What hospital, opened in 1823, was the first hospital in Louisville and the state of Kentucky?
Louisville Marine Hospital (now U of L)
T/F your patient has an increase in temperature and leukocytes in urine? Does this automatically trigger a urine culture?
False. Automatic triggers are a way to have false positives.
Pt arriving to ICU immediately after brain surgery. What would the most appropriate catheter to grab?
Temp-sensing foley.
What is a common class of medication associated with urinary retention?
Antidepressants
Antipsychotics
Opioids
Diphenhydramine
Ephedrine
NSAIDS
Drugs with anticholinergic activity
A patient experiences sudden urinary urgency and is unable to make it to the restroom before leakage occurs. Neurologic conditions and bladder irritation may contribute to this type.
Urge incontinence
What is the most common organism that contributes to a CAUTI?
E. Coli
List three signs of a CAUTI a patient might present with
Fevers, rigors, altered mental status, flank pain, lethargy, CVA tenderness, acute hematuria, pelvic discomfort, dysuria, pelvic tenderness
Male pt with difficult insertion. what are you going to the supply room to grab?
Inserting a coude.
BPH, bladder stones, fecal impaction, and vaginal prolapse can all cause urinary retention through this mechanism
Obstruction or obstructive urinary retention
False
What is your hospitals nurse driven protocol for bladder scanning and intermittent catheterization?
BONUS if you can tell us!
What is the correct way to collect a urine culture from a foley catheter?
Confirm if by policy needs to swap out foley, clamp sample port, scrub sample port, obtain urine, put in sterile cup, send to lab within one hour
Mrs. Jones is 48 hours post op for hip fracture. Fully bed bound and currently has foley in. What do you do?
Remove foley. Attempt to use a bedpan/urinal, bladder scan protocol
What is a common neurologic related cause of urinary retention?
Cauda equine syndrome
Cord compression
Transverse myelitis
Spinal cord trauma
Multiple sclerosis
Two patients are both experiencing urinary leakage. One has sudden urgency, while the other has incomplete bladder emptying and dribbling. What two types of incontinence are being described?
Urge and overflow incontinence
What year was the foley catheter invented?
1929