Urinary Tract Infection PDF

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Summary

T. Pittman...

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Urinary Tract Infection Pathophysiology An infection in any part of the urinary system, the kidneys, bladder, or urethra.

Risk Factors        

Alkaline urine promotes bacterial growth. Indwelling catheters. Stool incontinence. Bladder distention. Genetics. Diabetes mellitus. Female sex. Older age.

Expected Findings               

Lower back or lower abdominal discomfort and tenderness over the bladder area. Nausea. Urinary frequency and urgency. Dysuria, bladder cramping, and spasms. Urinary frequency and urgency. Feeling of incomplete bladder emptying or retention if urine. Perineal itching. Hematuria. Pyuria. Fever. Vomiting. Voiding in small amounts. Nocturia. Urethral discharge. Cloudy or foul smelling urine.

Laboratory Tests   

Urinalysis and urine culture sensitivity. White blood cell count. STI testing.

Nursing Care 1

  

Administer antibiotic medications as prescribed. Recommend warm sitz baths two or three times a day to provide comfort. Avoid the use of indwelling catheters.

Medications     

Fluroquinolones. Nitrofurantoin. Trimethoprim. Sulfonamides. Phenazopyridine.

Patient Education    

Drink at least 8 to 10 glasses of fluid daily. Bathe daily to promote good body hygiene. Urinate before and after sexual intercourse. Drink cranberry juice to decrease the risk of infection.

Complications      

2

Urethral obstruction. Pyelonephritis. Chronic kidney disease. Urosepsis. Septic shock. Death....