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What are UTIs caused by?
Caused by poor hygiene, inadequate hand washing, failure to wipe from front to back after voiding/defecating, frequent sexual intercourse predispose women to infection, also catheters, prolonged use of catheters, improper catheter care/hygiene
What are possible complications of lower UTIs?
- Burning pain
- Chills nausea
What are possible complications of those who have an irritated bladder or cystitis?
- Frequent and urgent sensation to urinate Irritation to bladder and urethral mucosa results in blood tinged urine
- Urine appears concentrated/cloudy b/c of wbcs or bacteria
What are possible complications of those with upper UTI? (spreads to kidneys - pyelonephritis)
- Flank pain
How much urine should we make per hour?
How much urine should we produce daily and how much for pt with a foley?
- Daily: 1500 - 1600
- With Foley: 2000 - 2500
- Routine catheter care
- Perineal hygiene
- Fluid intake
- Cath care usually every 8 hours
- Insertion is ALWAYS sterile technique
- If patient has foley athey should be putting out more urine daily to keep urine dilute and keep catheter from clogging
- When pt has foley, increase their intake so they will have more output, there won’t be sediment, catheter won’t get clogged.
Assess/Intervene for clients with urinary retention
- Assess for abdomen distention and pain
- Signs include urine absent over several hours
- Dribbling of urine
- If pt doesn’t have a catheter you can do “bladder scanning” which tells you how many mls of urine there are in the bladder.
- Promote environment that will help pt urinate
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