Unfolding Urological Case Study- John Walters
Patient Profile:
John Walters is a 72-year-old male who presented to the ER with c/o
abdominal pain (could be a renal problem) and back pain.
Past health: hypertension,
Subjective Data
Has noticed stream has become ‘weaker’ (Potential BPH)
difficulty initiating urination and feels he can’t always empty his
bladder (Obstruction/ urinary retention)
states burning on voiding (dysuria, infection)
Objective Data
38 Celsius, 88, 24 106/68 (mild febrile, slightly above pulse, increased
RR)
Urine cloudy and foul-smelling (infection)
Voids small amounts frequently (problem emptying bladder)
Diagnostic Tests
Urinalysis: positive for bacteria (infection)
Urine for C&S: positive for E. Coli
WBC 12 X 109 (normal 3.5-12.0 x 109 /L) (slightly high)
CT scan of the enlarged renal calyx (inflammation/obstruction) Renal
calyx is the conduit where urine passes from nephrons to ureter.
Clinical Decision-Making Questions
1. What puts this patient at risk for a UTI? Urinary retention, obstruction
2. What are the clinical manifestations of a UTI? Abdominal pain,
dysuria, frequency of urination
3. Describe the key collaborative interventions.
Increased fluid intake, scheduling toileting q2hr, double voiding
List the medications commonly associated with UTI.
TMP-SMX, Nitro, Cipro, Levaquin
4. What health promotion would be provided to this patient?
Wash with soap and water after toileting
Patient Profile:
This study source was downloaded by 100000892213116 from CourseHero.com on 10-11-2024 14:41:29 GMT -05:00
https://www.coursehero.com/file/236077416/NURS-2701-Unfolding-Urological-Case-Study-John-Waltersdocx/
Patient Profile:
John Walters is a 72-year-old male who presented to the ER with c/o
abdominal pain (could be a renal problem) and back pain.
Past health: hypertension,
Subjective Data
Has noticed stream has become ‘weaker’ (Potential BPH)
difficulty initiating urination and feels he can’t always empty his
bladder (Obstruction/ urinary retention)
states burning on voiding (dysuria, infection)
Objective Data
38 Celsius, 88, 24 106/68 (mild febrile, slightly above pulse, increased
RR)
Urine cloudy and foul-smelling (infection)
Voids small amounts frequently (problem emptying bladder)
Diagnostic Tests
Urinalysis: positive for bacteria (infection)
Urine for C&S: positive for E. Coli
WBC 12 X 109 (normal 3.5-12.0 x 109 /L) (slightly high)
CT scan of the enlarged renal calyx (inflammation/obstruction) Renal
calyx is the conduit where urine passes from nephrons to ureter.
Clinical Decision-Making Questions
1. What puts this patient at risk for a UTI? Urinary retention, obstruction
2. What are the clinical manifestations of a UTI? Abdominal pain,
dysuria, frequency of urination
3. Describe the key collaborative interventions.
Increased fluid intake, scheduling toileting q2hr, double voiding
List the medications commonly associated with UTI.
TMP-SMX, Nitro, Cipro, Levaquin
4. What health promotion would be provided to this patient?
Wash with soap and water after toileting
Patient Profile:
This study source was downloaded by 100000892213116 from CourseHero.com on 10-11-2024 14:41:29 GMT -05:00
https://www.coursehero.com/file/236077416/NURS-2701-Unfolding-Urological-Case-Study-John-Waltersdocx/
