Question

ATI system disorder template for PUD

Answer 1

1) ans)
Laboratory test:

Common laboratory tests for UTIs include: Urinalysis—most UTIs are diagnosed by performing a urinalysis, which looks for evidence of infection, such as bacteria and white blood cells in a sample of urine. A positive leukocyte esterase test or the presence of nitrite in the urine supports the diagnosis of UTI.

Diagnostic procedures:

cystoscopy

Tests and procedures used to diagnose urinary tract infections include: Analyzing a urine sample. Your doctor may ask for a urine sample for lab analysis to look for white blood cells, red blood cells or bacteria.

Nursing care:

A history of signs and symptoms related to UTI is obtained from the patient with a suspected UTI.

Assess changes in urinary pattern such as frequency, urgency, or hesitancy.

Assess the patient’s knowledge about antimicrobials and preventive health care measures.

Assess the characteristics of the patient’s urine such as the color, concentration, odor, volume, and cloudiness.

Medications:

sample to confirm that you have a UTI. Then the lab will grow the germs in a dish for a couple of days to find out which type of bacteria you have. This is called a culture. It’ll tell your doctor what type of germs caused your infection. He’ll likely prescribe one of the following antibiotics to treat it before the culture comes back:

Amoxicillin/augmentin

Ceftriaxone (Rocephin)

Cephalexin (Keflex)

Ciprofloxacin (Cipro)

Fosfomycin (Monurol)

Levofloxacin (Levaquin)

Nitrofurantoin (Macrodantin, Macrobid)

Trimethoprim/sulfamethoxazole (Bactrim, Septra)

Therapeutic procedures:

Therapeutic procedures are medical treatments that can help prevent, cure, or at least improve a person's condition. Mostly in urinary tract infection

Antibiotics usually are the first line treatment.

Patient education:

Many people are able to prevent a UTI from developing by taking some self care steps. The most important step for people who use an indwelling catheter is to drink, drink, and drink some more. Your fluid intake should be enough so that your urine has the appearance of water or is only slightly yellow in color and clear.

Changing your catheter after increasing your fluids may also help cut down on the number of bacteria living in your bladder since catheters can become "colonized" with the bacteria that are flushed out of your urinary tract. Generally, changing your catheter every month should be enough to keep you healthy, but people who get frequent UTIs or whose catheters tend to become encrusted with built-up mineral deposits may have to change it more often.

Some people are able to avoid or treat UTIs by taking vitamin C (500-2,000 mg per day) or cranberry extract tablets. Other "natural" treatments may be helpful but you should consult someone who is knowledgeable in this field, such as a naturopathic physician.

Interprofessional care:

An inter-professional workgroup was developed to review the data, perform a gap analysis and implement a corrective action, preventative action plan.

The CDC guidelines for prevention of CAUTI (2009) was used as the source for EBP and PI. Interventions focused on processes included: a two-person urinary catheter insertion checklist (wingman), non-invasive alternatives to urinary catheters, daily audits of bundle compliance and device removal (nurse driven protocol), urinary retention protocol, and guidelines for indications for urine culturing. After implementing these interventions, the number of CAUTIs was measured.

Complications of a UTI may include:

Recurrent infections, especially in women who experience two or more UTIs in a six-month period or four or more within a year.

Permanent kidney damage from an acute or chronic kidney infection (pyelonephritis) due to an untreated UTI.