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M. T Nursing Treatment

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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

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