Nursing Management of Cystitis

Nursing Management of Cystitis

Nursing management of patients with Cystitis is aimed at reducing pain and discomfort, reduction of urinary frequency, urgency and hesitancy, increased knowledge about prevention and treatment modalities as well as the absence of complications pootensial.

Reducing pain and discomfort
Pain and discomfort can be reduced quickly when antimicrobial therapy is initiated, antispasmodic agents helps to reduce bladder irritability and pains, aspirin, heating perineum and hot baths help reduce discomfort and spasms.

Reduced frequency (frequent urination), urgency and hesitancy
Patients are encouraged to drink freely of fluid (water is the best option) to support the renal blood flow and to flush the bacteria from the urinary tract, the fluid that can irritate the bladder (eg: coffee, tea, alcohol) is avoided.

Patient education
Patients must receive detailed instructions:
  • Reducing the concentration of pathogens in the vaginal orifice (especially in women) through hygienic measures: frequent showers rather than baths because the bacteria in the water bath can be entered into the urethra, perineum and clean around the urethral meatus after each bowel movement with the movement from front to back.
  • Drink freely of fluid a day to flush out bacteria, avoid coffee, tea and alcohol.
  • Urine every 2-3 hours in a day and empty the bladder completely it prevents excessive bladder distension and disruption of blood supply to the bladder wall that predispose to cystitis.
  • If the sexual relationship was an event that started the development of bacteriuria: urinate immediately after intercourse, drinking single-dose oral antimicrobial agent after intercourse.
  • If the bacteria continues to appear in the urine, a long-term antimicrobial therapy required to prevent colonization and recurrent infections periuretral area.
  • Consul to your healthcare provider regularly for follow-up, recurrence of symptoms or infection nonresponsive to treatment.

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