Question

In: Nursing

give one nursing diagnoses for a patient who has urosepsis, looking for similarities and differences between...

give one nursing diagnoses for a patient who has urosepsis, looking for similarities and differences between the treatment and nursing interventions.

Solutions

Expert Solution

The nursing diagnosis for a patient who has urosepsis is

Infection related to Urinary retention as evidenced by Burning sensation with urination, Bacteriuria, fever,chills, flank pan.

Nursing Interventions:

Assess for signs and symptoms of urinary tract infection.

Monitor laboratory as indicated: WBC count., Urinalysis., Bacteria in the urine., Urine culture and sensitivity.

Encourage the client to void often every 2 to 3 hours a day and completely empty the bladder.

Encourage increased oral fluid intake (2 to 3 liters a day if no contraindication).

Suggest drinking of cranberry juice (four to six 8 ounce glasses per day).

Suggest the use of vitamin C. (500 to 100 mg/day).

Limit the use of indwelling bladder catheters to manage incontinence.

Encourage the client to complete the whole duration of the antibiotic (The usual length of antibiotic therapy is 7 to 10 days)

Treatment:

Treatment for urosepsis is more complex, however. The earlier you are treated for urosepsis, the better.

Medications used to treat urosepsis also include antibiotics. Antibiotics will help rid your body of the bacteria that led to urosepsis.

If urosepsis isn’t treated promptly, one will require close monitoring and treatment in a hospital intensive care unit. that includes:

  • intravenous (IV) fluids
  • medications
  • oxygen
  • other supportive medical care

If one goes into septic shock, he may need lifesaving treatments to help stabilize heart rate and breathing. Doctor may also prescribe vasopressors.


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