A 79 yr old women comes into a walk-in clinic you are working as a NP with chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble-not too bad”. Recent Assessment of renal status is unavailable.
1. What would you consider for therapy?
2. Explain the rationale for therapy as well as considerations that you would include while prescribing this medication.
3. Considerations should also include drug resistance and how you would assess this patient for possibility of drug resistance.
Please be brief with your answers-do not copy answers from the book-read the case study and answer in your own words-briefly! You are not required to cite as your answers should come from your textbook-it is a demonstration that you understand the content and the case study.
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A 79-year-old woman arrives at the walk-in clinic where you work as an NP with the major complaint of increased urine frequency and dysuria. A urine test demonstrates pyuria as well as positive nitrites. She mentions having “a little renal trouble—not very serious.” A recent assessment of renal status is not provided.
1. What options do you have for therapy?
2. Describe the rationale for therapy as well as any concerns you would make when prescribing this medicine.
3. Consider drug resistance and how you would examine this patient for the risk of drug resistance.
Please keep your replies brief—do not replicate answers from the book—read the case study and respond in your own words—briefly! You are not obliged to mention because your replies should be self-explanatory.
