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Published by lachrymoseai

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Published by: lachrymoseai on Apr 17, 2010
Copyright:Attribution Non-commercial


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3. Nursing Diagnosis:
Impaired urinary elimination related to obstruction (presence of stones inthe renal collecting system) and swelling of the urinary tract as manifestedby decreased urinary output and hematuria
Nursing Inference:
Stones lodged in the pelvis usually causes obstruction of urine flow aswell as the swelling of the urinary tract due to inflammation causesurinary stasis which leads to dysuria, decreased urine output andhematuria when the stone is flushed down in the ureters causing injuryinto its lining.
Nursing Goal:
After 3-4 days of rendering appropriate nursing interventions, the client·surinary elimination status will be improved as will be manifested byabsence of dysuria, hematuria, output equal to input, and verbalization ofthe client, ´Medyo limmaga-an ti panag-isbo kon ken haan unaynasakiten nu umisbo ak. Ad-adu bassit ti mais-isbo kon kompara idikuwa.µ
Nursing Interventions:
ncourage the client to void in sitz bath to relax muscles, to soothe sore tissues,and facilitating voiding.2.
Maintain an acidic environment of the bladder by the use of agents such as Vit.C,Mandelamine (a urinary antiseptic) when appropriate to discourage bacterialgrowth.3.
mphasize importance area keeping clean and dry to reduce the risk of furtherinfection and skin breakdown.4.
Instruct to wipe the area from front to back and take showers rather than tubbaths to limit risks or to avoid re-infection.5.
Demonstrate positioning of catheter, drainage, tubing, and bag to facilitatedrainage and to prevent reflux.6.
Increase oral fluid intake .
Nursing Evaluation:
After 3-4 days of rendering appropriate nursing interventions, the client·surinary elimination status was improved as manifested by absence ofdysuria, hematuria, urine output of 30-50ml. per hour, and verbalizationof the client,µ Limmaga-an ti panag-isbo kon ken haan unay nasakiten nuumisbo ak. ´
eneric Name:
Classification: Anti- infectiveMode of Action: It inhibits cell-wall synthesis, promoting osmotic instability; usuallybactericidal.Dosage, Route, Frequency: IV 8 hoursDesired
ffect: This was given to our patient to treat urinary tract infection.Nursing Responsibilities:1. Check the doctor·s order to protect self from illegal actions.2. Observe the 10 R·s before administration for an effective treatment regimen.3. Taken with food to minimize gastric irritation.4, It should be swallowed whole, not crushed because crushed tablet have a strong,persistent, bitter taste.5. Instruct to take the entire amount of this medication as prescribed, even if patient feelsbetter.6. Instruct to notify health care provider if you get a rash since it is one of its side effects.

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