24 Sep Post Monica
Respond on two different days who selected at least one different factor than you, in one or more of the following ways:Offer alternative diagnoses and prescription of treatment options for urinary tract infections.Share an insight from having read your colleague’s posting, synthesizing the information to provide new perspectives
Main Post
Pathophysiology of Upper and Lower Urinary Tract Infections
Lower urinary tract infections (UTIs) involve the urethra and the bladder; upper urinary tract infections include the ureters and the kidneys. Upper UTIs are rarer than lower UTIs but typically are more severe (Healthline, 2019). Microorganisms are the most common agent resulting in UTI infection. Microorganisms can include Escherichia coli (E. Coli) and staphylococcus saprophyticus. Less common mircroorganisms are proteus, klebsiella, pseudomonas, viruses, fungi, tubercular bacilli, and parasites. Gram-negative bacilli move into the urethra, next to bladder, then on to the ureter, and kidney. Infection begins as an inflammatory response producing edema within the bladder wall. The bladder feels full with only small amounts of urine present, but the urgency of needing to urinate is present and appears more often than usual (Huether & McCance, 2017). Signs and symptoms of lower UTIs might include frequency, nocturia, dysuria, urgency, and hematuria (in some cases). Signs and symptoms of upper UTIs might include nausea, vomiting, fever, chills, low back, flank pain, abdominal pain and mental status changes in the elderly population (Barkley, 2018).
Pathophysiology Impact and Patient Factors
Women are more prone than men to experience UTIs, possibly because of urethral irritation during sexual intercourse or because they have a shorter urethra, making it easy for microorganism transmission (Berkowitz, 2007). Microorganisms mostly associated with a female diagnosis would be E.Coli and microorganisms primarily related to a male diagnosis would be proteus species. Disorders with lower UTIs might be, urethritis/dysuria, and cystitis. Diseases with upper UTIs might be, renal, pyelonephritis, and renal abscess (Barkley, 2018). Contributing patient factors might be age, prior UTI history, pregnancy, immunocompromised patients, urinary catheter usage, and poorly controlled diabetes (Healthline, 2019).
Diagnosis and Treatment
Diagnostic test for lower UTIs are urinalysis, esterase detection on dipstick, and presence of nitrate by dipstick. Treatment for lower UTIs are ciprofloxacin, augmentin, bactrim (commonly), additionally amoxicillin, macrobid, levaquin, monurol, and primsol maybe prescribed. The preferred treatment course is 3-days instead of 7-day to maximize benefits and minimize treatment drawbacks (Barkley, 2018).
Diagnostic test for upper UTIs are ESR elevation, and white blood cell casts appearing on urinalysis. Treatment for upper UTIs is Bactrim, Augmentin, Cipro, tobramycin, or gentamicin. For patients with upper UTIs experiencing nausea and vomiting, hospitalization may be necessary (Barkley, 2018).
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Writedemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.