Focused Exam UTI With Antibiotic Sensitivity Shadow Health Assessment

Patient Exam: This assignment is a focused exam with a patient who presents with a UTI and antibiotic sensitivity. You will conduct an interview with Makayla Henderson using therapeutic communication to determine the appropriate pharmacological therapy for her condition. After the exam, you will select the most appropriate medication for Ms. Henderson and educate her on her medication and disease management. If applicable, you will write a prescription for the selected medication. On average, this assignment will take 75 minutes to complete.

Education Items

(1 point) Take the full course of antibiotics
(1 point) Take with meals for absorption
(1 point) Take missed doses as soon as possible
(1 point) Drink non caffeinated liquids

Phenazopyridine

(1 point) Take as needed to relieve pain
(1 point) Take with meals to avoid GI upset
(1 point) Continue taking antibiotics while on this drug
(1 point) Bodily fluids may appear orange

Symptoms and Care

(1 point) Wear loose-fitting, cotton underwear
(1 point) Wipe front to back when you use the restroom
(1 point) Return if you do not improve

Closing / Goodbye

Prescription Writing

Nitrofurantoin
Phenazopyridine

Subjective Data Collection: 25 Of 26 (96.2%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro

Tips and Example Questions.

Found:

Indicates an item that you found.

Available:

Indicates an item that is available to be found.

Assessment

The patient suffers from UTI

Model Note

Makayla Henderson is a 21-year-old Biracial woman presenting with an uncomplicated UTI. She is a senior college student. Her UTI symptoms began three days ago, and she has experienced pain during urination, a burning sensation, and increased urgency to urinate. She is also experiencing some cramping in her lower abdominal region

Model Note

I prescribed Ms. Henderson a course of …

Medication Selection Score: 18 Out Of 18 Points

This activity represents how well you were able to synthesize subjective data, objective data, guidelines, interactions, and contraindications to select the most effective medications(s) for the patient’s problems.

Assignment 5.2: Shadow Health: Focused Exam: UTI With Antibiotic Sensitivity And

Anti-Infective Concept Lab Sample Student Reflection

Summary of Shadow Health Assignment

In this shadow health assignment, I took care of a 21-years old patient named Makayla Henderson, who presented with urinary tract infection symptoms. Makayla Henderson is a senior college student who stated that she is a biracial woman. Ms. Henderson stated that her urinary tract symptoms were presented three days ago; she complained of cramping in the lower abdominal area with dysuria and urgency to avoid.

Ms. Henderson stated she avoided drinking water to eliminate her urinary frequency and was educated on the importance of regular fluid intakes to flush the bacteria out of her body and to hydrate her body. Since the patient is allergic to the sulfa drug, choosing the Nitrofurantoin drug is optimal to eradicate uncomplicated urinary tract symptoms; adding phenazopyridine medication therapy will also help Ms. Henderson with urinary dysuria and urgency.

Since Ms. Henderson has low health literacy levels, assessing the symptoms, allergies, medical history, family medical history, and performing patient teaching are important to increase her knowledge and to prevent recurrent urinary tract infections. Patient education, such as wiping from front to back, wearing cotton underwear, finishing antibiotic therapy even after she feels better to eradicate all the bacteria fully, and returning to care if symptoms are not improving are performed to improve the quality of care.

In another shadow health assignment for the anti-infective concept lab, it emphasized the importance of practitioners gathering patient data, allergies, and any pertinent medical history before prescribing therapy to prevent hypersensitivity reactions or adverse outcomes. For the antibiotics concept, it explains that antibiotics work against gram-negative, gram-positive, or both types of bacteria and have bactericidal, bacteriostatic, or both effects.

It also summarized the importance of observing patients for hypersensitivity reactions and assessing patients for renal impairment since antibiotics are excreted via the kidney to prevent nephrotoxicity; taking antibiotics medication disrupts normal flora in our body and may cause diarrhea which can increase the chance of having Clostridium difficile, individuals who have penicillin allergy may also sensitive to another penicillin derivative, and Vancomycin is a strong antibiotic and used as a last resort to defense against resistant bacteria.

Antiviral therapy works by stopping viral replication; the importance for practitioners to assess the kidney functions or hydration level since it can cause nephrotoxicity and educate the patients that they are still contagious until the infections are resolved completely. Antifungal therapy acts as fungicidal and fungistatic; the practitioner has to pay close attention to the patient’s hydration status to prevent nephrotoxicity or liver impairment, and monitor closely for individuals with heart issues or arrhythmias.

After performing this week’s shadow health assignments, I learned about the pathophysiology of infection, the stages of infection, the pathophysiology of bacteria, viruses, and fungi. Learning more about the pharmacotherapy of antibiotics, antivirals, antifungals, along with their mechanisms of action and effects, is essential information to know as a future nurse practitioner to improve the patient’s clinical outcomes. Besides, understanding antibiotic therapy hypersensitivity, such as Type I for anaphylactic reactions, are essential to decrease adverse outcomes and complicated reactions from drug therapy.

When researching the principles of antimicrobial therapy, it was defined as the providers will need to obtain an accurate diagnosis to treat the infection, understand the therapy types that are peculiar to antimicrobial agents, recognize antimicrobial stewardships, choose cost-effective and narrow-spectrum therapy, and consult with infectious disease specialists for further guidance (Leekha, Terrell, & Edson, 2011). After completing the assignment, I grew my knowledge to apply the principles of prescribing antibacterial medications by understanding different types of antibiotics and bacteria types, the action of antibiotics on specific gram-positive or gram-negative bacteria, assessing whether the patient ultimately needs antibiotic therapy and choosing the most effective and cost-effective.

Reference:

Leekha, S., Terrell, C. L., & Edson, R. S. (2011). General Principles of Antimicrobial Therapy. Mayo Clinic Proceedings, 86(2), 156–167. https://doiorg.proxy.library.maryville.edu/10.4065/mcp.2010.0639

Focused Exam UTI with Antibiotic Sensitivity Shadow Health Assessment