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Showing posts from July 23, 2011

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

Clinical Manifestations of Cystitis

Half of the patients found to have bacteria in the urine (bacteriuria) does not show symptoms. Signs and symptoms of cystitis include frequent pain and burning sensation when urinating, sometimes accompanied by spasms in the bladder and suprapubic area hematuria and back pain can also occur. While in non-infectious type is characterized by fever, irritable voiding symptoms (frequent urination, nocturia, urgency, feeling depressed at the suprapubic area, pain when the bladder is full) and primarily characterized by loss of bladder capacity. Pain may occur in the abdomen or perineum, or spread to the groin. In patients with Cystitis , these symptoms often appear : Dysuria Heartburn as a burning sensation during urination There is pain in the lower spine Urgency (a sense of urgency when urinating) Nocturia (frequent urination tended at night due to decreased bladder capacity) Emptying of the bladder is not perfect Incontinence Retention Supra pubic pain