Acute Pain - NCP for Urinary Tract Infection


A urinary tract infection is usually a bacterial infection that affects the urinary system. Normally, bacteria that enter the urinary tract are rapidly removed by the body before they cause symptoms. However, sometimes bacteria overcome the body’s natural defenses and cause infection. UTI is nearly always caused by bacteria, specifically Escherichia coli (E. coli).

UTI can occur in any part of the urinary system

Any part of the urinary tract may be infected:
  • Urethritis is infection of the urethra.
  • Ureteritis is infection of a ureter.
  • Pyelonephritis is infection of the kidneys.
  • Cystitis is infection of the bladder.
Symptoms of a Urinary Tract Infection (UTI) vary by age, gender, and whether a catheter is present. Among young women, UTI symptoms typically include a frequent and intense urge to urinate and a painful, burning feeling in the bladder or urethra during urination. The amount of urine may be very small. Older women and men are more likely to be tired, shaky, and weak and have muscle aches and abdominal pain. Urine may look cloudy, dark, or bloody or have a foul smell. In a person with a catheter, the only symptom may be fever that cannot be attributed to any other cause.

Nursing Diagnosis for Urinary Tract Infection

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

Outcomes :
No pain when urinating, no pain in the pelvic percussion.

Intervention:
1. Monitor urine output to changes in color, odor and voiding patterns, input and output every 8 hours and monitor the results of urinalysis repeated.
Rational: To identify indications of progress or deviations from the expected results

2. Record the location, the length of the intensity scale (1-10) the spread of pain.
Rational: Help evaluate the place of obstruction and cause pain.

3. Provide convenient measures, such as back rubs, environment, rest ;
Rationale : increase relaxation, decrease muscle tension.

4. Help or encourage the use of breath -focused.
Rational : help redirect the attention and for muscle relaxation.

5. Give perineal care.
Rational : to prevent contamination of the urethra.

6. If indwelling catheter, catheter care given 2 times per day.
Rationale : The catheter provides a way for bacteria to enter the bladder and urinary tract rise to.

collaboration:

7. Give analgesics according to program requirements and evaluation of its success.
Rationale: analgesics block pain trajectory, thereby reducing pain.

8. Give antibiotics. Create a wide variety of preparations drink, including fresh water. Giving water to 2400 ml / day.
Rationale: The result of the output of urine facilitate frequent urination and help flush channel urination.

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