Nanda - Nursing Care Plan

Showing posts with label Urinary Tract Infections. Show all posts
Showing posts with label Urinary Tract Infections. Show all posts

Hyperthermia related to Urinary Tract Infections


Nursing Care Plan for Urinary Tract Infections

Hyperthermia related to Urinary Tract Infections
A urinary tract infection (UTI) is an infection that affects part of the urinary tract. A urinary tract infection (UTI) (also known as acute cystitis or bladder infection). Urinary tract infections (UTIs) are very common – particularly in women, babies and the elderly. Around one in two women and one in 20 men will get a UTI in their lifetime.

The infection can occur at different points in the urinary tract, including:
  • Urethra. An infection of the tube that empties urine from the bladder to the outside is called urethritis.
  • Kidneys. An infection of one or both kidneys is called pyelonephritis or a kidney infection.
  • Ureters. The tubes that take urine from each kidney to the bladder are rarely the only site of infection.
  • Bladder. An infection in the bladder is also called cystitis or a bladder infection.
Some of the symptoms include:
  • Burning pain or a ‘scalding’ sensation when urinating
  • Pain above the pubic bone
  • Wanting to urinate more often and urgently, if only a few drops
  • A feeling that the bladder is still full after urinating
  • Blood in the urine.

Most urinary tract infections are caused by bacteria that live in the digestive system. Bacteria that enter the urethra and then the bladder. Women tend to get them more often because their urethra is shorter and closer to the anus than in men.
The most common culprit is a bacterium common to the digestive tract called Escherichia coli (E. coli).
Other micro-organisms, such as mycoplasma and chlamydia, can cause urethritis in both men and women.


Nursing Care Plan for Urinary Tract Infections

Hyperthermia related to infection.
Goal: the patient's body temperature to normal.

Expected outcomes:
  • The patient's body temperature is normal.
  • Acral feel warm.
  • Patients calm / relaxed.

Interventions and Rationale :

Independent

1. Assess increase in body temperature through laboratory tests.
R /: To determine the factors causing an increase in body temperature and to establish further therapy program.

2. Perform a cold or warm compresses on the body.
R /: Warm compresses can enhance vasodilation of blood vessels while cold compress increase vasoconstriction of blood vessels.

Collaboration

3. Implement treatment programs: Management of antipyretics as indicated.
R /: Antipyretics reduce fever.

Observation

4. Monitoring of vital signs.
R /: To know the state of the patient.

5. Monitor fluid intake and output.
R /: Intake and output were less able to stimulate the growth of bacteria in the urinary vesica.

Nursing Diagnosis related to Urinary Tract Infections

UTI or A urinary tract infection is an infection that can happen anywhere along the urinary tract.

Urinary tract infections have different names, depending on what part of the urinary tract is infected.
  • Bladder -- an infection in the bladder is also called cystitis or a bladder infection
  • Kidneys -- an infection of one or both kidneys is called pyelonephritis or a kidney infection
  • Ureters -- the tubes that take urine from each kidney to the bladder are only rarely the site of infection
  • Urethra -- an infection of the tube that empties urine from the bladder to the outside is called urethritis

Urinary tract infections (UTIs) are very common in women, babies and the elderly. The most common cause is a bacteria called Escherichia coli (E. coli), which usually lives in the digestive system and bowel. Infection can target the urethra, bladder or kidneys.

The symptoms of a bladder infection include:
  • Cloudy or bloody urine, which may have a foul or strong odor
  • Low fever (not everyone will have a fever)
  • Pain or burning with urination
  • Pressure or cramping in the lower abdomen (usually middle) or back
  • Strong need to urinate often, even right after the bladder has been emptied

If the infection spreads to kidneys, symptoms may include:
  • Chills and shaking or night sweats
  • Fatigue and a general ill feeling
  • Fever above 101 degrees Fahrenheit
  • Flank (side), back, or groin pain
  • Flushed, warm, or reddened skin
  • Mental changes or confusion (in the elderly, these symptoms often are the only signs of a UTI)
  • Nausea and vomiting
  • Severe abdominal pain (sometimes)

Although not always backed up by clinical research, some women have found the following suggestions useful in reducing their risk of developing urinary tract infections:
  • Drink plenty of water and other fluids to flush the urinary system.
  • Treat vaginal infections such as thrush or Trichomonas quickly.
  • Avoid using spermicide-containing products, particularly with a diaphragm contraceptive device.
  • Practice good hygiene.
  • Go to the toilet as soon as you feel the urge to urinate, rather than holding on.
  • Wipe yourself from front to back (urethra to anus) after going to the toilet.
  • Empty your bladder after sex.

Nursing Diagnosis for Urinary Tract Infections

1. Acute Pain
related to: inflammation and infection of the urethra, bladder and other urinary tract structures.

2. Impaired Urinary Elimination
related to: frequent urination, urgency, and hesitancy.

3. Disturbed Sleep Pattern
related to: pain and nocturia.

4. Hyperthermia
related to: the inflammatory reaction.

5. Imbalanced Nutrition, Less Than Body Requirements
related to: anorexia.

6. Risk for Fluid Volume Deficit
related to: excessive evaporation and vomiting.

7. Anxiety
related to: crisis situations, coping mechanisms are ineffective.

8. Knowledge Deficit: about condition, prognosis, and treatment needs
related to: the lack of resources.