Goals of treatment for M.T. are eradication of the causative organism and relief of symptoms such as dysuria, urinary frequency, and urgency. It is also important to educate her on prevention of recurrent infections, especially because of her diabetes. Patients with type 2 diabetes mellitus are at increased risk of infections, with the urinary tract being the most frequent infection site (Nitzan, Elias, Chazan, & Saliba, 2015). M.T. has a 1-year history of atrial fibrillation. She takes warfarin daily, and her INR is within the therapeutic range, between 2 and 3. Her creatinine level is 1.3 mg/dL, and a normal level is 0.6-1.2 mg/dl for women. This indicates that she has slightly reduced renal function at this time, possibly due to her diabetes, medications, age, or urinary tract infection (UTI). She has been diagnosed with acute uncomplicated UTI. The 24-hour history of dysuria, urinary frequency, and urgency combined with the urinalysis result …show more content…
Its primary ingredient is phenazopyridine, and it diminishes discomfort by acting locally on the urinary tract mucosa to produce analgesic effects. There’s inconsistent support for using cranberry juice or cranberry extract and probiotics to prevent UTI. Lastly, a clinician should ask the patient if she’s experiencing postmenopausal symptoms of urogenital atrophy. Hormone waning in postmenopausal women results in thinning of the vaginal and urethral mucosa, disruption of the normal vaginal flora, and increased risk for UTIs (Head, 2008). She can use vaginal lubricant sold over-the-counter to help with her dryness. If she is not satisfied with the lubricant, the clinician can suggest and prescribe low-dose vaginal estrogen therapy. It has been shown to reduce dyspareunia, improve vaginal dryness, and restore vaginal pH and normal vaginal cytology (Goldstein, 2010). Hormone treatment should be based on minimizing risks to the
DIAGNOSTIC DATA: White count was 13.4, hemoglobin and hematocrit 15.4 and 45.8, platelets 206, with an 89% shift. Sodium 133, potassium 3.7, chloride 99, bicarb 24, BUN and creatinine are 18 and 1.1, respectively. Glucose 146, albumin 4.3, total bilirubin 1.7. The remainder of the LFTs is within normal limits. Urinalysis reveals trace ketones with 100mg per decilitre protein and a small amount of blood. CT scan was performed revealing evidence of acute appendicitis with pericecal inflammation, as well as, dilatation of the appendix and
Mr. Davy Jones is a 60-year-old man that presents incontinence, nocturia, difficulty urinating, and a weak stream when urinating. The patient visited the clinic on 03/01/2017 after experiencing these issues for approximately two months. He is experiencing fatigue with not being able to achieve adequate sleep during the night due to nocturia. He is complaining of bladder always feeling full after voiding. Patient has had multiple UTI’s that was treated with antibiotics and was successful with medicinal treatment.
Acute renal failure occurs quickly over a period of days or weeks with a reduction in GFR and elevation of BUN, plasma creatinine and crystatin C levels. Oliguria (urine output of < 30ml/hr or < 400 ml/day) is usually associated with ARF, although urine output may be normal or increased as well. Fluid is still filtered at the glomerulus but there is an alteration in tubular secretion or reabsorption. Most types of ARF are reversible if diagnosed and treated early (Perrin, 2009).
Mr. S is a 25 year old male of Haitian descent, who was diagnosed with schizophrenia and assigned to the FEPP (First Episode Psychosis Program) after a two month stay in the inpatient unit. Mr. S was first admitted to the ER after being brought in by police for “bizarre” behavior, which included walking the streets responding to auditory and visual hallucinations; unable to concentrate or pay attention, while denying any hallucinations, but still accepting the treatment. Mrs. S kept to himself throughout the hospital stay, being very socially isolative. Mr. S had been living on the streets for 4 years prior to admission, receiving his meals from organizations such as “dans la rue” or “chez pops”. Mr. S’ roommate had originally kicked Mr. S
Which antibacterial agent(s) would be effective in the therapy of Mr BT’s urinary tract infection?
Ms. C. is a 53 y/o female with admitted to 2A with complaints of severe right abdominal pain. She is a pleasant lady with a friendly demeanor and asks for very little assistance. Mrs. C is morbidly obese which makes it difficult to get out of bed without assistance but for the most part, she can ambulate and walk around on her own once she is out of the bed with the assistance of a walker. Because of her obesity, Ms. C has several skin folds throughout her body, which make a great medium for fungal infections. The area underneath her skin folds is red and irritated. Ms. C has had oliguria for the past several days and is outputting very little to no urine. A foley catheter has been placed in order to remove any
The use of cranberry juice to effectively treat a Urinary Tract Infection (UTI) is not a heavily studied topic, but some people believe that it can be used to treat a UTI.
Introduction: Jessie Buchanan, an 80-year old female, was admitted to Bethany Care Society in room 3088-1 at the center unit. She is an extensive assist, requires 1 staff assistance and uses the transfer belt to transfer from bed to her wheelchair. She was admitted here because none of her family members can look after her because they are all busy with their own personal life. Jessie prefers to stay at Bethany because she receives full-time care from the health care providers. Jessie had a history of edema on her right ankle because she was experiencing hyponatremia. Currently, she is on fluid restriction and every morning I would put her compression stockings to prevent the occurrence of edema. Her condition worsens when she was diagnosed with osteoarthritis(OA), delirium, depression, type 2 diabetes mellitus, schizophrenia, hypertension, and urinary tract infections. Her recent urine culture shows that she is positive for urine nitrite and urine leukocyte which caused the UTI. Jessie is incontinent and she wears an indwelling catheter. Jessie said that sometimes her knees are painful. She takes an analgesic to relieve the pain that she feels. Jessie 's blood sugar level is within the range. She is not taking insulin or any oral medications like metformin because she knows how to control it, by following the proper diet. Jessie always have a good sleep and never complains about her sleeping pattern. She is taking medications for GERD, iron supplement, bone health,
A review of her medical records indicates that she was recently admitted to MMH from 2/28/17 to 3/3/17 and treated for pneumonia and UTI. Her recently labs that was done in February indicated a BNP of 861. She continues to suffer from chronic UTI and had her indwelling Foley catheter discontinued on 3/19/17. She continues to suffer from chronic anemia and chronic kidney disease. She is legally blind.
Maureen shows clinical manifestations such as hypotension (BP 80 mmHg systolic), tachycardia (HR 120 bpm and irregular), tachypnea (Resps 28 bpm), SaO2 unreadable, capillary refill time >4secs, temp 36.5°C (core) indicating the signs of hypovolaemia (Perner & Backer, 2014, p. 614). With the reference of Mrs. Hardy’s medical condition, such as arthritic knees and atrial fibrillation (INR 2.7), she is under diclofenac Acid 50mgs PO BD and warfarin 2mgs PO mane respectively (Jordan, 2010, p. 567; Zacher, et al., 2008, p. 930). Diclofenac is a
|Physiological |2. mother has been observed |perineum secondary |during my shift, and |2. Instruct mother on the importance | |bathroom breaks, and |
Cranberries can help prevent and cure individuals who have urinary tract infections (UTI). It contains pro-anthocyanodins which hinders harmful bacteria from latching onto the cells in the urinary tract. UTI is a common issue that can develop in both men and women. However, women are more prone to contracting this infection.
For the purpose of confidentiality, the patient will be identified by the initials A. S. A.S was a 52- year old African American woman who was admitted to the hospital when she started to experience severe urinary retention and shortness of breath. She has three adult children and eight grandchildren, but recently lost her husband of 25 years to diabetes. The patient appears to be very independent because she lives alone in her home and is aware of the disease process. She has a past medical history of acute renal
http://www.reddremedies.com/Supporting-Urinary-Tract-Health.html , it indicates that Cranberry contains antioxidants called proanthocyanins that prevents E.coli from sticking onto the bladder walls, which will in turn prevent any infection relating to UTIs.
Mr. Armstrong has a history of renal insufficiency and uncontrolled hypertension, along with symptoms of fatigue, pedal edema, and occasional shortness of breath. He does not have a history of trauma or obstruction to his kidneys, but his creatinine and BUN levels are currently at 3.5 mg/dl and 40 mg/dl. Normal creatinine concentration values are 0.7 to 1.2 mg/dl and normal BUN values are 10 to 20 mg/dl; this reveals that Mr. Armstrong’s kidneys are not removing wastes properly (McCance, Huether, Brashers, & Rote, 2014). Mr. Armstrong’s history of renal insufficiency and uncontrolled hypertension is commonly found in patients diagnosed with intrarenal (intrinsic) acute renal failure. Intrarenal acute renal failure can be categorized as