Concept Map UTI PDF

Preview

Summary

Concept Map, Questions, HW...

Description

AsiaMae Lapid C42 T3 Clinical

Concept Map: UTI Medical Diagnosis/Pathophysiology: -An infection in any part of the urinary system, the kidneys, bladder, or urethra. Urinary tract infections are more common in women. They usually occur in the bladder or urethra, but more serious infections involve the kidney. Signs and Symptoms: -A strong, persistent urge to urinate, A burning sensation when urinating, Passing frequent, small amounts of urine, Urine that appears cloudy, Urine that appears red, bright pink or colacolored — a sign of blood in the urine. Nursing Diagnosis: -Impaired Urinary elimination related t0 Bladder outlet obstruction as evidence by urination, urgency, and hesitancy Goals: -Eliminate the infection, prevent complications, and provide symptomatic relief to the patient. Nursing Interventions: -Assess the patient’s pattern of elimination. Serve as a basis for determining appropriate interventions. Note client’s age and gender. UTIs are more prevalent in women and older men. Palpate the client’s bladder every 4 hours. To determine the presence of urinary retention. Encourage increased fluid intake (3-4 liters a day if tolerated).

To help improve renal blood

flow. Encourage the client to void every 2-3 hours, To prevent the accumulation of urine thus limiting the number of bacteria. Instruct the female client to wipe the area from front to back and the avoidance of bath tubs. Proper perineal care helps in minimizing the risk of contamination and re-infection. Maintain an acidic environment of the bladder by the use of agents such as Vit.C, Mandelamine (a urinary antiseptic) when appropriate, To prevent the occurrence of bacterial growth. Diagnostic Tests & Labs: -Urinalysis, Urine culture, BUN,Glucose or hemoglobin,creatinine and eGFR, Kidney stone

analysis and/or kidney stone risk panel Evaluation: -Drink plenty of liquids, especially water, Drink cranberry juice, Wipe from front to back, take medications as ordered. Complications: -Recurrent infections, especially in women who experience two or more UTIs in a six-month period or four or more within a year. Permanent kidney damage from an acute or chronic kidney infection (pyelonephritis) due to an untreated UTI.

AsiaMae Lapid C42 T3 Clinical Increased risk in pregnant women of delivering low birth weight or premature infants. Urethral narrowing (stricture) in men from recurrent urethritis, previously seen with gonococcal urethritis. Sepsis, a potentially life-threatening complication of an infection, especially if the infection works its way up your urinary tract to your kidneys. Medications: -Trimethoprim/sulfamethoxazole (Bactrim, Septra, others), Fosfomycin (Monurol) Nitrofurantoin (Macrodantin, Macrobid), Cephalexin (Keflex), Ceftriaxone....