RUNNING HEAD: JOURNAL LOG WEEK 8-10 1 Assignment: Journal Log Week 8-10 Walden University NURS 6565 N-1 Synthesis Adv NP Primary Care
JOURNAL LOG WEEK 8-10 2 Week 8 According to Huether & McCance (2012), renal function can be impaired by kidney disorders itself or by systemic infection that may ultimately result into injury or chronic kidney disease. Urinary or bladder infection, kidney stones, or inflammation are one of those kidney diseases that can affect the renal function. During this week clinical rotation, Mr. H.S., a 51-year- old Asian male arrived to the clinic thinking he has urinary tract infection (UTI). Patient reported he has been feeling burning sensation while urinating, and has to empty his bladder frequently, even at nighttime. When asked, patient reported he has to get up three-five times during nighttime and feels tired all the time. Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook (2017) suggested that anytime male come with the UTI symptoms should also be asked for penile discharge, lesions, sexually transmitted disease, or any past history of UTI. Mr. H.S. is diabetic and smoke cigarette everyday. Drug Therapy and Treatment Mr. H.S. urinalysis was ordered and my preceptor treated it like a prostatitis. More labs were also ordered such as urine culture, complete blood count, and prostate specific antigen. Urinalysis was positive for bacteriuria, increased leukocytes and hematuria. Prostatitis can be treated either with levofloxacin or ciprofloxacin (Buttaro et al., 2017). Prescription was sent for ciprofloxacin 500mg for 14 days twice a day. Patient encouraged drinking plenty of water to flush his system. Patient educated that office will call once results are available. Also discussed with the patient that if his PSA numbers come high, patient will be asked to follow nephrologist for more through exam. Patient educated that he can use over the counter Tylenol, ibuprofen for pain or fever, and keep on drinking plenty of water.
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