Urinary Tract Infection Part II

Urinary Tract Infection Part II 150 150 Tony Guo
  • Acute Care
    • Adequate fluid intake
      • Patient may think condition will worsen because of discomfort 
      • Dilutes urine, making bladder less irritable
      • Flushes out bacteria before they can colonize
    • Avoid caffeine, alcohol, citrus juices, chocolate, and highly spiced foods 
      • Potential bladder irritants
    • Application of local heat to suprapubic or lower back may relieve discomfort
    • Instruct patient about drug therapy and side effects
    • Emphasize taking full course of antibiotics despite disappearance of symptoms
    • Second or reduced dosage of a drug may be ordered after initial course in susceptible patients
    • Instruct patient to monitor for signs of improvement and decrease in or cessation of symptoms
    • Teach patient to promptly report to HCP
      • Persistence of LUTS beyond antibiotic treatment course
      • Onset of flank pain 
      • Fever
  • Ambulatory Care
    • Emphasize importance of compliance with drug regimen
      • Take as ordered
    • Maintain adequate fluids
    • Regular voiding (every 3 to 4 hours)
    • Void after intercourse
  • Patient & Caregiver Teaching
    • When teaching a patient and caregiver measures to prevent a recurrence of a urinary tract infection (UTI), include the following.
      • Take all antibiotics as prescribed. Symptoms may improve after 1-2 days of therapy, but organisms may still be present.
      • Practice appropriate hygiene, including the following:
        • Carefully clean the perineal region by separating the labia when cleansing.
        • Wipe from front to back after urinating.
        • Cleanse with warm soapy water after each bowel movement.
      • Empty the bladder before and after sexual intercourse.
      • Urinate regularly, approximately every 3-4 hr. during the day.
      • Maintain adequate fluid intake.
      • Avoid vaginal douches and harsh soaps, bubble baths, powders, and sprays in the perineal area.
      • Report to the HCP symptoms or signs of recurrent UTI (e.g., fever, cloudy urine, pain on urination, urgency, and frequency).
      • Consider drinking unsweetened cranberry juice (8 oz. three times a day) or taking cranberry extract tablets 300-400 mg/day for UTI prevention. (This practice may not be effective with every patient.)
  • Nursing Evaluation
    • The patient with a UTI will
      • Experience normal urinary elimination patterns
      • Report relief of bothersome urinary tract symptoms
      • Verbalize knowledge of treatment regimen

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