Question

PN 200 Fundamentals of Nursing I rinary Tract Infection-Bactrim DS Florence Long 29-ya-od wone, Jas compisineal to her bealth care previder of paintul uribity frequency and srgency The patient has an elevaied temperature. A urine specimem indicates thur Ms.Long has & urtnaey tracc infection /T The bealth care peovider preserbes co-etmosscole DX.S, tableis Double strengh T-1Gog 5-300 mg) twice s day foe 14 d What otber infommation should the bealds care provider obiain from the pstien 2. Whet other dose of co-rimosazole (TMP-SMZ) could be presenbed? Explain zour newer 3. What shouald the healds care provider discuss widi the pacient in regard to taking the dnug and its passible side ecfects? What other infsemation should Ms. Long have ceceived What is the recommended time foc follow-up care for Ms Loegh 4 Whst other drugs might be used lnstead of cotrimoxcole? Would oce urinary anti infective drug be more effective dan another anti-infective drig? Explais yours 5. Reviewed 1218

Answer 1

1. Other information that the healthcare provider should obtain from the patient are :-

- does the urine looks cloudy in appearance

- is there presence of foul odor

- presence of pain during micturition

- is she sexually active

- how much water a day she drinks

- does the pain radiates to other areas

2. Adults: One double-strength or two regular-strength tablets P.O. q 12 hours for 10 to 14 days Or, 8 to 10 mg/kg (based on trimethoprim) I.V. daily given in two to four equally divided doses for up to 14 days .Maximum daily dose is 960 mg.

3. Health teaching about the drug Cotrimoxazole :-

# Classification of Drug

Antibacterial & Antiinfective Agents

# Therapeutic Uses

Alternative to Penicillins - "Sulfa drug" Used: To treat urinary tract and ear infections, bronchitis,

# Contraindications

Allergy, Renal, or Liver Disease

# Common Side Effects

GI issues, rash, fatigue, headache, vertigo

# Adverse Reactions

Allergies, Superinfections, Organ toxicity (liver)Seizures, Blood and Bone issues, Stevens-Johnson Syndrome

# Drug - Lab - Food Interactions

Must check for these things when administering this drug

# Nursing Interventions & Considerations:-

Close observations during initial dose

Assess for: renal and liver functions, allergies, V/S

Monitor renal and kidney lab results

# Client Education

Take full course of medication as prescribed

Teach about the Possible Side Effects

Ingest yogurt to decrease possibility of superinfections

4. The recommended time for next follow up is after 14days course of Cotrimoxazole to see the effect of the medicine .