*NURSING > QUESTIONS & ANSWERS > NR 511 FINAL EXAM STUDY GUIDE (All)
1.Identify the population most commonly affected by bacterial prostatitis: Acute bacterial prostatitis occurs predominantly in sexually active men between the ages of 30 and 50 years old, whereas chro... nic bacterial prostatitis is most common in men older than 50. Prostatitis (Acute, chronic, nonbacterial) Risk factors Age> 50 yrs, Hx of prostate calculi, BPH, prev. UTI, recurrent UTIS acute and chronic-> strep. Faecalis and staph. Aureus are most common physical exam: abd. Exam to detect distended bladder, costovertebral angle tenderness, genital exam, digital rectal exam acute: warm, tense, swollen, boggy and very tender prostate vs chronic: normal or little boggy diagnostic testing: U/A (PYURIA + for all three), midstream urine cand s, 츛, urethral swab for GC AND CT, cystoscopy, transrectal ult Acute-- treatment 14 to 28 day regimen-cipro 500 mg q 12 hr, levofloxacin 500mg daily or doxycycline or TMP-SMX STD coverage for ABP; single dose IM ceftriaxone 250 mg + single dose azithromycine or doXy 100 mg BID 7 D Supportive measure: antipyretics, nsaids, hydration, stool softeners Chronic-treatment 5 to 12 week antibiotic course with same meds + alpha-blocking agents to relax the smooth muscles around prostate Nonbacterial prostatitis- treatment FEFER TO UROLOGIST [Show More]
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