Chapter 47 Urinary Tract Infections
Jill is a 22-year-old college senior who comes to the urgent care center with a complaint: “I think I have a bladder infection.” She is afebrile and nontoxic appearing. She has no back pain or costovertebral angle (CVA) tenderness that would indicate a kidney infection. Her urine analysis is positive for nitrites, WBCs greater than 20/hpf and RBCs less than 5/hpf. Her only medications are Loestrin birth control pills and Tylenol for dysuria, but says the Tylenol does not seem to be working. She is a nonsmoker and has no allergies.
- What is your treatment plan for Jill’s urinary tract infection (UTI)?
- What education does she need?
TO BE RE-WRITTEN FROM THE SCRATCH
Jill’s symptoms show that she has been infected by a bacterial infection within her urinary system that has not yet affected her kidney. The fact that she is afebrile and non-toxic show that the infection has not yet affected her kidney. Jill’s symptoms coupled with the urinalysis conducted demonstrate show that she has cystitis. The high presence of white blood cells as well as red blood cells in urine shows contamination from virginal secretion and is an indicator of a bacterial infection within the urinary track (Mishra, 2014). Moreover, the presence of nitrites in the blood equally demonstrates a bacterial infection within the bladder.
The treatment plan for this patient will involve a 5 days treatment. The treatment will involve the oral administration of nitrofurantoin. This treatment is recommended as the first treatment for non complicated cystitis. The dosage for these antibiotics will be 100mg two times daily for five days (Mishra, 2014). This will greatly suppress the multiplication of the bacteria and consequently kill the bacteria.
Jill mainly requires education on prevention of urinary truck infections. She needs to be educated on the need to take large quantities of water. This will help her to increase the rate of urinating and hence flash out any bacteria that could be found within her urinary track systems before it turns into an infection (Kammire, 2013). Secondly, she also requires education on how to wipe herself after urinating. It is important for her to wipe herself from the front towards the back. This will prevent any bacteria that are found within the anal area from spreading to the urinary tract. This would prevent any…………………………………………………………………………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Urinary Tract Infections…….
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