A 79 yr outdated ladies comes right into a walk-in clinic you’re working as a NP with chief grievance of elevated urinary frequency and dysuria. Urinalysis reveals pyuria and constructive nitrites. She mentions she has a “little bit of kidney trouble-not too dangerous”. Latest analysis of renal standing is unavailable.
1. What would you contemplate for remedy?
2. Clarify the rationale for remedy in addition to concerns that you’d embrace whereas prescribing this remedy.
three. Issues also needs to embrace drug resistance and the way you’d assess this affected person for chance of drug resistance.
Please be transient together with your answers-do not copy solutions from the book-read the case examine and reply in your personal words-briefly! You aren’t required to quote as your solutions ought to come out of your textbook-it is an indication that you simply perceive the content material and the case examine.
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A 79-year-old girl arrives on the walk-in clinic the place you’re employed as an NP with the most important grievance of elevated urine frequency and dysuria. A urine take a look at demonstrates pyuria in addition to constructive nitrites. She mentions having “slightly renal hassle—not very severe.” A latest Assessment of renal standing isn’t offered.
1. What choices do you might have for remedy?
2. Describe the rationale for remedy in addition to any considerations you’d make when prescribing this medication.
three. Think about drug resistance and the way you’d study this affected person for the chance of drug resistance.
Please hold your replies transient—don’t replicate solutions from the guide—learn the case examine and reply in your personal phrases—briefly! You aren’t obliged to say as a result of your replies ought to be self-explanatory.