UTI vs. Pyelonephritis - UA Findings, Priority Interventions, and Top Medications for NCLEX and HESI

UTI vs. Pyelonephritis - UA Findings, Priority Interventions, and Top Medications for NCLEX and HESI

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First Action for Suspected Pyelo: Obtain blood and urine cultures prior to ABX

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7 of 18

First Action for Suspected Pyelo: Obtain blood and urine cultures prior to ABX

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UTI vs. Pyelonephritis - UA Findings, Priority Interventions, and Top Medications for NCLEX and HESI

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  1. 1 Intro — UTIs, Pyelonephritis, and How We’ll Make It Stick
  2. 2 UTI Overview: Cystitis vs. Pyelonephritis kidney infection = more serious
  3. 3 Classic UTI Symptoms: Fever, Dysuria burning, Urinary Frequency
  4. 4 Urinalysis UA Findings: Cloudy/smelly urine, WBCs, nitrites; When to order C&S CFU thresholds
  5. 5 NCLEX/HESI Priority: Cultures BEFORE antibiotics + practice scenarios cloudy urine; old midstream specimen
  6. 6 Pyelonephritis Key Difference: Costovertebral tenderness, dull flank pain to umbilicus vs. stones to groin
  7. 7 First Action for Suspected Pyelo: Obtain blood and urine cultures prior to ABX
  8. 8 Causes & Risks: Urinary retention, BPH, “nurse bladder,” stones, Foley catheters, E. coli, female anatomy
  9. 9 Elderly Focus: Retention and UTI risk HESI/Kaplan callouts; “I can go all day…” needs teaching
  10. 10 Complications: Urosepsis, acute delirium vs. dementia—assess sudden confusion first
  11. 11 Pharm Overview: Antibiotics + analgesics—3 must‑know UTI meds
  12. 12 TMP‑SMX Bactrim: MOA, SULF mnemonic, hydration, allergies, not pregnancy‑safe
  13. 13 Fluoroquinolones Levo/Cipro: Sun precautions, Achilles tendon rupture, don’t confuse with nephrotoxic “-mycins”
  14. 14 Phenazopyridine Pyridium: Red‑orange fluids are normal; jaundice = report; pads/glasses; finish antibiotics
  15. 15 Patient Education & Prevention: 2L fluids/day, void after sex, cranberry, avoid bladder irritants
  16. 16 Hygiene “No‑Nos”: No douching/spermicides/deodorants/synthetics; cotton undies; no bubble baths; wipe front to back
  17. 17 The UTI Memory Song — “I Got Another UTI”
  18. 18 Outro — Study guides, 1,200+ exclusive videos, and thousands of NCLEX‑style questions

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