Info

Medication or Drug Class

Dosage

Description

Rationale

Antibiotics Analgesics

Varies with drug Varies with drug

Anti-infectives to manage bacterial infections. Examples: Trimethoprim-sulfamethoxazole (Bactrim, Septra), ciprofloxacin hydrochloride (Cipro)

Acetaminophen; mild narcotics

Treatment based on bacterial sensitivity, as well as the ability of the antibiotic to concentrate in the urinary system. Course of treatment is at least 1-4 wk.

Relieve pain

Independent

The patient requires careful fluid balance. Weigh the patient at the same time of day on the same scale with the same clothing. Elicit the patient's and family's support in maintaining an accurate record of fluid intake and output.

Pay particular attention to the patient's response to the illness. Respect the patient's privacy by isolating him or her from others during urinary drainage system insertion and insertion site care. Provide an honest appraisal of the patient's condition, and answer all questions. Note that both men and women link urinary functioning to sexual functioning. Be open to and supportive of the patient's fears of sexual dysfunction and provide accurate information.

Provide meticulous skin care. Request a consultation from the enterostomal nurse for unusual problems.

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