Cephalosporins such as Suprax, cefprozil

Cephalosporins such as Suprax, cefprozil

Prior to discharge from the clinic, Shelly and her mother were educated with prescribed medications, its importance in treating the infection and its consequence on discontinuing the course. They were also advised in completing the full course of the medication even if the symptoms were found to be reduced after the oral intake of the drug for few days. They were informed on the importance of hygiene, proper toilet training, and maintaining cleanliness after each bowel movement in order to prevent the germs from entering into the urethra from the anal region. Shelly was also recommended to empty her bladder whenever she urges to urinate as holding the urine for a long time creates more bacterial infection in the urinary bladder (Shaikh & Hoberman, 2019).

PEER 2 Nathalia

1. The nurse needs to familiarize with the history of symptoms exhibited by Shelly. For instance, the nurse needs information on the young girl’s urine color. Urine concentration and description of cloudiness are equally relevant assessment factors because she already knows there is increased volume and urgency (Masika & Armstrong, 2017). Hourly visits to the bathroom are a critical indicator that there could be a urinary tract infection (UTI) but additional assessment details such as odor would provide further information to help assess gravity, diagnosis and subsequent care and treatment.

2. Escherichia coli is a typical causative microorganism that is responsible for the urinary tract infection (UTI). Klebsiella is equally culpable for UTI as well as Proteus spp, although they mostly suggest the presence of stone disease (Taylor & Moore, 2018). The increased levels of gram-positive bacteria also show that enterococcus and staphylococcus are microorganisms related to UTI.

3. The four-year-old Shelly needs antibiotics to address her situation. Some of the ideal medications include trimethoprim or sulfamethoxazole, which exist as Bactrim or Septra. The alternative pharmacological treatment is amoxicillin or clavulanate, alternatively known as Augmentin (Taylor & Moore, 2018). Cephalosporins such as Suprax, cefprozil, and Keflex are equally effective medication to treat the UTI infection.

4. Shelly and her parents require patient education to minimize exposure to the causative microorganisms. For instance, the Shelly needs information such as wiping strategy after urination or bowel movement. As a child, she might not be acquainted with the recommended front to back technique. The frequent urination on an hourly basis means Shelly needs an equally habitual intake of fluids such as cranberry juice (Masika & Armstrong, 2017). The teaching priorities should focus on behavioral changes for Shelly in the daycare. Minimizing exposure and high levels of sanitation at the facility will reduce or eliminate the recurrence of UTI.

Above are the original questions if you need them;