nursing:uti

ED nurse initiated Rx of the patient presenting with probable UTI

introduction

  • patients with UTI can be initially managed in Fast Track if clinically stable
  • their length of stay in ED could be reduced and their symptoms partly relieved by nurse initiated ED Rx, although it is recognised that these presentations can be complex and warrant timely medical assessment to properly exclude important red flags.
  • the following is a suggested framework for ED's who have nurses accredited to undertake ED nurse initiated treatment including the ordering of pathology tests.

specific history and examination

specific nurse initiated Rx for UTI

red flags to escalate medical referral

  • the elderly are particularly susceptible to time critical life threatening urosepsis

  • hypotension
  • severe pain
  • pregnancy

initial Mx

  • urinalysis with MSU m/c/s
  • if vomiting, very unwell, flank pain or high fever, consider admission to EOU as acute pyelonephritis:
    • iv access
    • FBE, U&E, glucose
nursing/uti.txt · Last modified: 2012/07/23 05:24 by gary1