Nursing Management: UTI
What are overall goals for a patient with a UTI? - Answer- - relief from bothersome LUTS
- prevention of upper urinary tract involvement
- prevention of recurrence
Who is at risk for UTIs? - Answer- - debilitated persons
- immunocompromised, i.e. cancer, HIV, diabetes mellitus
- immunosuppressive drugs, corticosteroids
What are health promotion activities in preventing UTIs? - Answer- - emptying bladder regularly
and completely
- evacuating bowel regularly
- wiping perineal area from front to back after urination and defecation
- drinking adequate amount of liquids each day
What is the recommended fluid intake per person over 24 hours? - Answer- - (person's weight in
pounds)/2 = # of fluid oz. person should have per day
- 20% of fluids will be obtained from foods
What types of fruit juice could potentially reduce UTIs? - Answer- - cranberry juice, tablets or
capsules
- juice is more effective vs. tablets or capsules
- enzymes found in cranberries inhibits attachment of urinary pathogens to bladder wall
What are the most effective means for reducing HAI UTIs? - Answer- - avoid unnecessary
catherization
- early removal of indwelling catheters
- follow aseptic technique
- wash hands before and after contact w/patient
- wear gloves
- answer call lights quickly, offer bedpans/urinals to bedridden patients at frequent intervals
What are acute interventions for a patient with a UTI? - Answer- - ensure adequate fluid intake
- application of local heat to suprapubic area or lower back to relieve discomfort: use heating pad
at lowest setting OR warm shower/sitting in tub of warm water filled above waist
- instruct to take full course of ABx
- instruct to watch for signs of improvement: cloudy urine becomes clear, etc.
What should you teach patients about adequate fluid intake? - Answer- - increase frequency
- dilute urine making bladder less irritable
- flush out bacteria before they have a chance to colonize in bladder
- caffeine, alcohol, citrus juices, chocolate, highly spiced foods or beverages are potential bladder
irritants and should be avoided
What should you teach patients about UTIs? - Answer- 1. take all ABx as prescribed
What are overall goals for a patient with a UTI? - Answer- - relief from bothersome LUTS
- prevention of upper urinary tract involvement
- prevention of recurrence
Who is at risk for UTIs? - Answer- - debilitated persons
- immunocompromised, i.e. cancer, HIV, diabetes mellitus
- immunosuppressive drugs, corticosteroids
What are health promotion activities in preventing UTIs? - Answer- - emptying bladder regularly
and completely
- evacuating bowel regularly
- wiping perineal area from front to back after urination and defecation
- drinking adequate amount of liquids each day
What is the recommended fluid intake per person over 24 hours? - Answer- - (person's weight in
pounds)/2 = # of fluid oz. person should have per day
- 20% of fluids will be obtained from foods
What types of fruit juice could potentially reduce UTIs? - Answer- - cranberry juice, tablets or
capsules
- juice is more effective vs. tablets or capsules
- enzymes found in cranberries inhibits attachment of urinary pathogens to bladder wall
What are the most effective means for reducing HAI UTIs? - Answer- - avoid unnecessary
catherization
- early removal of indwelling catheters
- follow aseptic technique
- wash hands before and after contact w/patient
- wear gloves
- answer call lights quickly, offer bedpans/urinals to bedridden patients at frequent intervals
What are acute interventions for a patient with a UTI? - Answer- - ensure adequate fluid intake
- application of local heat to suprapubic area or lower back to relieve discomfort: use heating pad
at lowest setting OR warm shower/sitting in tub of warm water filled above waist
- instruct to take full course of ABx
- instruct to watch for signs of improvement: cloudy urine becomes clear, etc.
What should you teach patients about adequate fluid intake? - Answer- - increase frequency
- dilute urine making bladder less irritable
- flush out bacteria before they have a chance to colonize in bladder
- caffeine, alcohol, citrus juices, chocolate, highly spiced foods or beverages are potential bladder
irritants and should be avoided
What should you teach patients about UTIs? - Answer- 1. take all ABx as prescribed
