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NUR-635 Topic 11 DQ 2

Sample Answer for NUR-635 Topic 11 DQ 2 Included After Question

Jill, a 30-year-old, presents with discomfort when urinating and mentions a burning sensation. Lately, she has been complaining of sudden urges to urinate and finds it difficult to control. Other symptoms include pain in the low abdomen which is sometimes relieved by urination. Based on the patient’s presentation, Jill is diagnosed with acute uncomplicated cystitis. She states an allergy to sulfa. Use the guidelines and relevant literature in your topic Resources to discuss the following:  

Differentiate between cystitis and pyelonephritis urinary tract infects. 

What factors are associated with uncomplicated and complicated urinary tract infections? 

Briefly describe the bacteria associated with acute uncomplicated cystitis. Include which bacteria are associated with the highest prevalence and how these bacteria are classified (e.g., gram-negative, gram-positive, etc.) 

Determine a treatment strategy for Jill. If choosing a pharmacologic approach include the drug, dose, frequency, and treatment length, and explain your rationale for choosing this medication, including spectrum of coverage and mechanism of action.  

Determine monitoring, side effects, and drug-drug interactions associated with each medication. 

How would you address Jill’s pain associated with acute uncomplicated cystitis? 

In the event Jill is pregnant, how would this change your treatment plan. Explain your rationale. 

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education 

This assignment aligns to AACN Core Competencies 1.2, 2.2, 2.5. 4.2, 6.4, 9.2 

A Sample Answer For the Assignment: NUR-635 Topic 11 DQ 2

Title: NUR-635 Topic 11 DQ 2

What medication can be used specifically in a UTI for the pain?  

Hello Prof, 

When it comes to pain management during urinary tract infections (UTIs), analgesics and nonsteroidal anti-inflammatory medications (NSAIDs) are frequently utilized (NYU Langone Health, 2023).  Ibuprofen and other NSAIDs can benefit from the inflammatory response and pain relief associated with UTIs. Moreover, through its local anesthetic effect on the mucosa of the urinary tract, phenazopyridine, a urinary analgesic, can alleviate the discomfort caused by urinary tract infections (NYU Langone Health, 2023).   It is essential to underscore the significance of seeking guidance from a healthcare professional before commencing any medication regimen. Such consultation enables them to evaluate unique patient characteristics, identify potential contraindications, and suggest a suitable treatment regimen customized to the particular circumstance. In addition, it is crucial to emphasize the importance of adhering to the recommended antibiotic regimen to address the infection’s root cause. Doing so is essential for averting complications and fostering effective health management. Furthermore, providing patients with guidance regarding the significance of sufficient hydration and adhering to proper urinary sanitation protocols can significantly impact the comprehensive management and prevention of urinary tract infections (NYU Langone Health, 2023).  

Reference 

NYU Langone Health. (2023). Medications for Urinary Tract Infections. Retrieved from https://nyulangone.org/conditions/urinary-tract-infections/treatments/medications-for-urinary-tract-infections#:~:text=Analgesics,-inflammatory 

UTIs can produce significant pain and discomfort that can be managed with NSAIDS, acetaminophen, and adjunct strategies such as hydration and heat application. Patients with recurrent UTIs often have pain and discomfort at some point. Bladder hypersensitivity syndrome secondary to the recurrent UTI contributes to morbidity and diminished quality of life. Antibiotic instillation into the bladder via foley catheter is a treatment used in urological procedures. However, this intervention is not favorable in uncomplicated recurrent infections. A recently adopted practice of hyaluronic acid instillation has supported reduction in subsequent infections, but also reduced pain and discomfort (Nickel, 2022). The solution contains Heparin (10–20 000 units in 20 ml of 0.9% sodium chloride), hyaluronic acid (80 mg–50 ml of 0.16%), chrondroitin sulfate (20 ml of 2%). Other management strategies for people with recurrent infections include topical lidocaine (small amount of 2–5% gel), vaginal estrogen, local or oral amitriptyline, phenazopyridine, and/or diazepam. Lidocaine 2% and sodium bicarbonate 8.4% can be instilled into the bladder and dwell for 10-20 minutes before the catheter is removed (Nickel, 2022). Drug therapy for UTI pain should be individualized to the patient’s acuity and symptom severity. 

  

References 

Nickel, J. C. (2022). Managing interstitial cystitis/bladder pain syndrome in female patients: Clinical recipes for success. Canadian Urological Association Journal, 16(12), 393–398. https://doi-org.lopes.idm.oclc.org/10.5489/cuaj.8055 

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