Question

Mary is a resident of a long-term skilled nursing facility. She has a fever of 101’F and her skin is dry to the touch. She has a small amount of urine output that is dark and foul smelling. What test(s) and treatments would you prescribe? Write her prescriptions.

Answer 1

Ans) A burning sensation, dark foul smelling pee can also be a sign of a sexually transmitted infection (STI), such as chlamydia or gonorrhea. Regardless of the cause, you shouldn’t ignore the signs of dysuria. See your doctor if it persists beyond one to two bathroom trips.

If your urine does feel hot as you pass it, you can take your body temperature with a thermometer. If your body temperature has increased — perhaps due to illness — your urine may feel warmer, too.

While you can normally control a fever with over-the-counter fever reducers, always see your doctor for body temperatures greater than 103˚F (39˚C) in adults. Doctors consider this a high-grade fever.

Also, if a fever of 101˚F (38˚C) or higher lasts more than 10 to 14 days, see your doctor.

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Most of the time, staying hydrated, decreasing intakes of trigger foods, vitamins, and medications, passing urine often, and practicing good hygiene can manage ammonia odor in urine.

- To evaluate a fever, your doctor may: Ask questions about your symptoms and medical history. Perform a physical exam. Order tests, such as blood tests or a chest X-ray, as needed, based on your medical history and physical exam.

- It is important ammonia-smelling urine is not ignored, especially if it continues after making attempts to resolve it. Ammonia smell may indicate a health problem and should not be ignored.