AU Urinary Tract Infection Diagnosis DIscussion

Case 3

18 yo female presents with fever, dysuria, and frequency for about 2 days. She reports being 12 weeks pregnant. Denies any nausea or vomiting. She reports she is allergic to Penicillin.

Exam showed

Vital Signs blood pressure 110/80, pulse 105, respirations 22, temp 38.7 ℃, Weight 95 lbs

HEENT: Bilat tympanic membranes bulging, clear nasal discharge, erythema in the posterior pharynx on left side only, neck supply without adenopathy

CV: regular rate and rhythm, no murmurs

Respiratory: Clear equal bilaterally breath sounds

Abd: soft, mild suprapubic tenderness, no distention bowel sounds equal and active in all quadrants.

Labs: UA: ++ leukocytes, + nitrates, + blood

Diagnosis

Urinary Tract Infection

Pregnancy

1. Discuss what are the potential treatments for this child’s diagnosis

2. What antibiotic/s should be given for this patient’s diagnosis?

3. How long should you prescribe the chosen antibiotic?

4. What teaching would you give this child’s parents on the prescription

5. Write out a correct prescription for the antibiotic you are going to prescribe for this patient. (Be sure to include all elements needed for a correct prescription)