Urinary

Tract
Infection
Presented by:
Delos Reyes, Eyanah
Esparagoza, Dyan Clarisse
BSN3E
Overview of the disease
A urinary tract infection (UTI) is a
bacterial infection in part of the
urinary tract.
 Classifications of uti
Asymptomatic Acute pyelonephritis
Bacteriuria Acute cystitis

Acute urethritis Acute prostatitis

 Fever, chills,
Dysuria increase WBC

Hematuria Cloudy, foul

Signs & symptoms smelling urine
Urgency
Pain
• Suprapubic pain
Frequency (cystitis)
• Flank pain
(pyelonephritis)
 Other factors
sexual intercourse
diabetes
poor personal hygiene
problems emptying the bladder completely
B Escherichia coli
a Enterococcus having a urinary catheter
c Klebsiella bowel incontinence
t Enterobactor blocked flow of urine
e kidney stones
r Proteus
i Pseudomonas some forms of contraception
a Staphylococcus pregnancy
s Candida albicans menopause
procedures involving the urinary tract
suppressed immune system
immobility for a long period
use of spermicides and tampons

Causes
heavy use of antibiotics
Treatment
urinary analgesics

Antibiotics Phenazopyridine
Ciprofloxacin
Other medications
Sulfamethoxazole/
for the symptoms

Trimethoprim Paracetamol
Cephalexin Maalox
Levofloxacin Dioralyte
 Laboratories
Urine culture
Urinalysis
detects and identifies
look for evidence of
specific bacteria and yeast in
infection, such as bacteria
a patient's urine that may be
and white blood cells.
causing a UTI.

X-ray
Ultrasound
Special x-rays can be used
used to screen for to screen for structural
hydronephrosis (obstruction abnormalities, urethral
of the flow of the urine). barrowing, or incomplete
emptying of the bladder.
Acute pain
Nursing interventions
• Assess the onset, duration and level of pain. Provide analgesic drugs.
• Provide comfortable position.
• Reassure and provide divertional therapy.
• Give psychological support.
• Alert patient that phenazopyridine will color urine orange.
• Apply heating pad to painful area.

Impaired urinary elimination

• Assess for changes in usual voiding pattern. Instruct patient regarding reason for
symptoms.
• Encourage high fluid intake or administer IV fluid as ordered.
• Obtain urine for culture and sensitivity.
• Administer antimicrobial medications as ordered.
• Instruct patient about good perineal care and cleansing after each bowel movement.
• Tell patient to observe urine for color, odor,amount and frequency.

Hyperthermia
• Assess vital signs 2-4 hourly.
• Administer antipyretics and antibiotics as ordered.
• Ensure hydration via oral or IV route.
• Monitor intake and output.
• Cover patient and keep him dry.
• Provide cooling sponge baths or compresses.
 Hygiene Exercise
Wipe from front to back after using the toilet.

Urinate before and after sex. Kegel exercises

Don´t hold pee. Exercise regularly

Wear cotton underwear and loose-fitting clothes.

Thank you!