RUNNING HEAD: JOURNAL LOG WEEK 8-10
1
Assignment: Journal Log Week 8-10
Walden University
NURS 6565 N-1 Synthesis Adv NP Primary Care
This study source was downloaded by 100000857300661 from CourseHero.com on 12-13-2022 12:25:20 GMT -06:00
https://www.coursehero.com/file/38478008/wk8journaldocx/
, JOURNAL LOG WEEK 8-10
2
Week 8
According to Huether & McCance (2012), renal function can be impaired by kidney
disorders itself or by systemic infection that may ultimately result into injury or chronic kidney
disease. Urinary or bladder infection, kidney stones, or inflammation are one of those kidney
diseases that can affect the renal function. During this week clinical rotation, Mr. H.S., a 51-year-
old Asian male arrived to the clinic thinking he has urinary tract infection (UTI). Patient reported
he has been feeling burning sensation while urinating, and has to empty his bladder frequently,
even at nighttime. When asked, patient reported he has to get up three-five times during
nighttime and feels tired all the time. Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook (2017)
suggested that anytime male come with the UTI symptoms should also be asked for penile
discharge, lesions, sexually transmitted disease, or any past history of UTI. Mr. H.S. is diabetic
and smoke cigarette everyday.
Drug Therapy and Treatment
Mr. H.S. urinalysis was ordered and my preceptor treated it like a prostatitis. More labs
were also ordered such as urine culture, complete blood count, and prostate specific antigen.
Urinalysis was positive for bacteriuria, increased leukocytes and hematuria. Prostatitis can be
treated either with levofloxacin or ciprofloxacin (Buttaro et al., 2017). Prescription was sent for
ciprofloxacin 500mg for 14 days twice a day. Patient encouraged drinking plenty of water to
flush his system. Patient educated that office will call once results are available. Also discussed
with the patient that if his PSA numbers come high, patient will be asked to follow nephrologist
for more through exam. Patient educated that he can use over the counter Tylenol, ibuprofen for
pain or fever, and keep on drinking plenty of water.
Follow Up Care
Lots of things were missed during this patient visit such as rectal exam. I questioned my
preceptor why he did not run that exam if he was suspecting prostatitis. My preceptor told me
that patient has to finish his antibiotic course and once he is done his prostate would not be
This study source was downloaded by 100000857300661 from CourseHero.com on 12-13-2022 12:25:20 GMT -06:00
https://www.coursehero.com/file/38478008/wk8journaldocx/
1
Assignment: Journal Log Week 8-10
Walden University
NURS 6565 N-1 Synthesis Adv NP Primary Care
This study source was downloaded by 100000857300661 from CourseHero.com on 12-13-2022 12:25:20 GMT -06:00
https://www.coursehero.com/file/38478008/wk8journaldocx/
, JOURNAL LOG WEEK 8-10
2
Week 8
According to Huether & McCance (2012), renal function can be impaired by kidney
disorders itself or by systemic infection that may ultimately result into injury or chronic kidney
disease. Urinary or bladder infection, kidney stones, or inflammation are one of those kidney
diseases that can affect the renal function. During this week clinical rotation, Mr. H.S., a 51-year-
old Asian male arrived to the clinic thinking he has urinary tract infection (UTI). Patient reported
he has been feeling burning sensation while urinating, and has to empty his bladder frequently,
even at nighttime. When asked, patient reported he has to get up three-five times during
nighttime and feels tired all the time. Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook (2017)
suggested that anytime male come with the UTI symptoms should also be asked for penile
discharge, lesions, sexually transmitted disease, or any past history of UTI. Mr. H.S. is diabetic
and smoke cigarette everyday.
Drug Therapy and Treatment
Mr. H.S. urinalysis was ordered and my preceptor treated it like a prostatitis. More labs
were also ordered such as urine culture, complete blood count, and prostate specific antigen.
Urinalysis was positive for bacteriuria, increased leukocytes and hematuria. Prostatitis can be
treated either with levofloxacin or ciprofloxacin (Buttaro et al., 2017). Prescription was sent for
ciprofloxacin 500mg for 14 days twice a day. Patient encouraged drinking plenty of water to
flush his system. Patient educated that office will call once results are available. Also discussed
with the patient that if his PSA numbers come high, patient will be asked to follow nephrologist
for more through exam. Patient educated that he can use over the counter Tylenol, ibuprofen for
pain or fever, and keep on drinking plenty of water.
Follow Up Care
Lots of things were missed during this patient visit such as rectal exam. I questioned my
preceptor why he did not run that exam if he was suspecting prostatitis. My preceptor told me
that patient has to finish his antibiotic course and once he is done his prostate would not be
This study source was downloaded by 100000857300661 from CourseHero.com on 12-13-2022 12:25:20 GMT -06:00
https://www.coursehero.com/file/38478008/wk8journaldocx/
