Altered Urinary Elimination - NCP Urinary Tract Infections

Nursing Care Plan for Urinary Tract Infections

A urinary tract infection (UTI) is an infection that affects part of the urinary tract.
Symptoms from a lower urinary tract include painful urination and either frequent urination or urge to urinate (or both), while those of pyelonephritis include fever and flank pain in addition to the symptoms of a lower UTI.

Nursing Diagnosis : Altered Urinary Elimination related to mechanical obstruction of the bladder or other urinary tract structures.

Outcomes:
Improved elimination pattern , not the signs urinary disorders : urgency , oliguric , dysuria

Intervention:

1. Monitor input and output and urine characteristics.
Rational: provides information about kidney function and presence of complications.

2. Encourage increased fluid intake.
Rationale: increased hydration washes the bacteria.

3. Assess complaints of the urinary bladder.
Rational: urinary retention may occur causing tissue distension (bladder / kidney).

4. Observation of changes in the level of consciousness.
Rational: accumulation of uremic and electrolyte imbalances can be toxic to the central nervous system.

5. Monitor laboratory tests; electrolytes, BUN, creatinine.
Rational: monitoring of renal dysfunction.

6. Take action to maintain acidic urine: input increase berry juice and give medications to increase uric acid.
Rational: uric acid deter the growth of bacteria. Increased input preformance juice can affect the treatment of urinary tract infections.