Urinary tract infection
UTI
A urinary tract infection (UTI) is an
infection in any part of the urinary
system. The urinary system
includes the kidneys, ureters,
bladder and urethra. Most
infections involve the lower urinary
tract — the bladder and the
urethra.
UTI
UTIs typically occur when bacteria
enter the urinary tract through the
urethra and begin to spread in the
bladder. The urinary system is
designed to keep out bacteria.
Scenario
Patient: Female, 25 years old
Chief Complaint: "It burns when I pee, and my lower stomach hurts."
Date of Admission: April 22, 2025
History of Present Illness:
The patient is a 25-year-old female who presents with a 5-day history of dysuria, urinary
urgency, and suprapubic discomfort. She reports fever, malaise, and cloudy, foul-smelling
urine. She admits to frequently holding urine due to work demands (6+ hours without
voiding). No known drug allergies. She has had 1 prior UTI two years ago.
Vital Signs:
- Temperature: 38.5°C (101.3°F)
- Pulse: 98 bpm
- Respiratory rate: 18/min
- BP: 110/72 mmHg
Urinalysis:
- Color: Cloudy
- Odor: Strong, foul
- WBC: >10,000 WBC Count
- Nitrites: Positive
- Leukocyte esterase: Positive
- Bacteria: Present
Assessment
Subjective Data:
- "It burns when I urinate."
- "My lower stomach hurts."
- "My pee smells bad and looks cloudy."
- "I don’t get time to go to the bathroom during my shift."
Objective Data:
- Age: 25 years
- Temperature: 38.5°C
- Urinalysis:
- WBC: >10,000 WBC Count
- Nitrites: Positive
- Leukocyte esterase: Positive
- Bacteria: Present
- Urine: Cloudy, foul-smelling
- Holding urine for over 6 hours at a time
Diagnosis
Impaired urinary elimination related to urinary
tract infection as evidenced by dysuria, cloudy
foul-smelling
Planning
1.
Short-Term Goals:
- Patient will report
reduced burning and
pain within 48 hours of
starting antibiotics.
- Urine appearance will
improve (clearer,
reduced odor) within 48–
72 hours.
2.
Long-Term Goals:
- Patient’s WBC count
in urine will return to
<5/HPF within 5–7 days.
- Patient will maintain
proper voiding habits
(every 2–3 hours)
consistently during
follow-up.
Implementation
1. Administer antibiotics as
ordered.
2. Encourage oral fluid
intake of 2–3 L/day.
3. Lorem ipsum dolor sit
amet, consectetur
adipiscing elit.
4. Educate patient to void
every 2–3 hours.
5. Monitor temperature,
pain level, and urine
characteristics.
6 Provide warm compress
to the lower abdomen as
. needed
Evaluation
1.
Goals are met
Short-Term Goals:
- Patient reported
reduced burning and
pain after 48 hours of
starting antibiotics.
- Urine appearance
improved (clearer,
reduced odor) after 48–
72 hours.
2. Long-Term Goals:
- Patient’s WBC count
in urine returned to <
14,000 WBC Count
within 5–7 days.
- Patient maintained
proper voiding habits
(every 2–3 hours)
consistently during
follow-up.
Thank
You