Quote from valerie salva
doesn't nanda have an infection: actual type of dx?
what is her illness doing to her ability to urinate? what complications of pylonephritis can the pt's nurse prevent via interventions?
acute pyelonephritis is a potentially organ- and/or life-threatening infection that characteristically causes some scarring
of the kidney with each infection and may lead to significant damage to the kidney
(any given episode), kidney failure, abscess formation
(eg, nephric, perinephric), sepsis, or sepsis syndrome/shock/multiorgan system failure.
more than 250,000 cases occur in the united states each year (1995 estimate), and approximately 200,000 patients require hospitalization (1997 data). wide variation exists in the clinical presentation, severity, options, and disposition of acute pyelonephritis.
so, ndx (high) risk for ???
would strict i&o be important for such a pt?
labs- blood and urine? not only c&s, cbc w/ differential, but what about kidney function?
how would the pt feel?
what would the goals be for a pt in pain, febrile, dehydrated, &/or abnomal labs (high wbcs)?
what would you teach this pt to do and not to do? i.e. are bubble baths ok? how should she wipe after voiding?
use the nursing process.