Question

Urinary Tract Infection - Bactrim DS Florence Long, a 29-year-old woman, has complained to her health care provider of painful urinary frequency and urgency. The patient has an elevated temperature. A urine specimen indicates that Ms. Long has a urinary tract infection (UTI) The health care provider prescribes co-trimoxazole D.S. tablets (Double strength T-160mg's-800 mg) twice a day for 14 days. 1. What other information should the health care provider obtuin from the patient? 2. What other dose of co-trimoxazole (TMP-SMZ) could be prescribed? Explain your answer. 3. What should the health care provider discuss with the patient in regard to taking the drug and its possible side effects? What other information should Ms. Long have received? 4. What is the recommended time for follow-up care for Ms. Long What other drugs might be used instead of co-trimoxazole? Would one urinary anti- infective drug be more effective than another anti-infective drug? Explain your answer. 5. Reviewed 12/18

Answer 1

Q. No 1. Answer :

* the health care provider can ask regarding remaining signs and symptoms like pain in the bladder, lower abdomen, and groin region.

* Pain during in the urination, and during in the sexual intercourse.

* foul smelling in the urine, fatigue and malaise ect.

* ask regarding any vaginal irritation is there or not.

* And ask regarding back pain, nausea and vomiting may indicates for kidney infection.

* ask hematuria history may indicates kidneys stones or cancer and chronic urinary tract infections.

Q. No 2. Answer :

Other dose of cotrimoxazole can prescribed for UTI like 80 ; 400 mg once a daily per oral or 160 ; 800 mg per oral three times a day per one week.

Because if the over dosage usage leads to antibiotic resistance may occurs.

Q. No 3. Answer :

* The health care provider should provide information to the client regarding this drug and it's possible side effects are nausea, vomiting, loss of appetite, rashes, itching, fever, sore throat, severe diarrhea, (either watery or bloody stools), short ness of breath, pale ness, cough, yellowish skin discoloration, joint and muscle pains ect.

* If any these severe symptoms may arises educate the client to meet doctor immediately.

* These medication should not take on empty stomach, it may cause nausea and vomiting and diarrhea so with food or excess water they have to take this medication.

Q. No 4. Answer :

Follow up care :

* Here health care provider prescribed medications for two weeks, after two weeks the client can come for follow up care.

* or if any danger signs and symptoms may seen inbetween days also they can come to hospital for review the treatment.