About
Kidney infection.
Assess
Flank pain, fever, chills, fatigue, abdominal discomfort, nocturia, tachycardia, CVA tenderness, burning, urgency, frequency with urination
Complications
Renal failure; nephrectomy; surgical removal of stones; sepsis- promptly notify physician if temperature increases or does not respond to treatment.
Diagnosis
- Acute pain related to irritation of urinary tract
- Impaired comfort related to chills and fever
- Ineffective health maintenance related to deficient knowledge of self-care with disease and treatment
Goals
- The client will be free from infection.
- The client will be able to identify treatment strategies with rationale for use.
Interventions
- Monitor VS ( especially blood pressure and temperature), urine output and characteristics.
- Monitor for signs and symptoms of infection not responding to treatment.
- Administer antibiotics as ordered.
- Increase fluids to 2-3 Liters per day.
- Collect urine culture and sensitivity and/ or blood cultures as ordered.
- Teach client medication regimen, disease management, and signs/ symptoms of reoccurrence.
- Prepare for surgery if client has an obstruction causing kidney infection.
- Monitor for signs/ symptoms of complications.
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