8/6/2019 UTI nursing care

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Patient Teaching and Home Healthcare Guidelines Nursing care plans for

Urinary tract infections (UTIs)

y Teach the patient an understanding of the proposed therapy, including themedication name, dosage, route, and side effects, Emphasize the importance ofcompleting the prescribed course of therapy or, with long-term prophylaxis, of

strictly adhering to the ordered dosage.

y Explain that an uncontaminated midstream urine specimen is essential foraccurate diagnosis.

y Teach the female patient to clean the perineum properly and to keep the labiaseparated during urination.

y To prevent recurrent lower UTIs, teach a female patient to carefully wipe theperineum from front to back and to thoroughly clean it with soap and water

after bowel movements.

y Teach to the patients never to postpone urination and to empty her bladdercompletely.

y Tell the male patient that prompt treatment of predisposing conditions such aschronic prostatitis helps prevent recurrent UTIs.

y Urge the patient to drink about 2 qt (2 L) of fluid a day during treatment.Nursing interventions Nursing care plans for Urinary tract infections (UTIs)

y Administer antibiotics specific to the invading organism as orderedy Watch for GI disturbances from antimicrobial therapy. If ordered, administer

nitrofurantoin macrocrystals with milk or meals to prevent such distress.

y If the patient experiences perineal discomfort, sitz baths to the perineum mayincrease comfort.

yIf sitz baths dont relieve perineal discomfort, apply warm compressessparingly to the perineum, but be careful not to burn the patient.

y Apply topical antiseptics on the urethral meatus as necessary.y Collect urine specimens for culture and sensitivity testing carefully and

promptly.

y Encourage patients to increase fluid intake to promote frequent urinationy