7- to 14-day course of I.V. or oral antibiotics, such as ciprofloxacin (Cipro), levofloxacin (Levaquin), ceftriaxone sodium (Rocephin), gentamicin sulfate (Garamycin), ampicillin, amoxicillin (Amoxil), vancomycin hydrochloride (Vancocin), cephalexin (Keflex), trimethoprim-sulfamethoxazole (TMP-SMX), ampicillin sodium-sulbactam sodium (Unasyn), aztreonam (Azactam), meropenem (Merrem I.V.), piperacillin sodium-tazobactam sodium (Zosyn), ticarcillin disodium -clavulanate sodium (Timentin), cefpodoxime proxetil (Vantin), and amoxicillin-clavulanate potassium (Augmentin)
Urinary analgesics such as phenazopyridine hydrochloride (Azo-Standard)
Antipyretics, such as acetaminophen or ibuprofen , as needed
Give prescribed drugs, such as antibiotics, urinary analgesics, and analgesics. Ensure patent access if I.V. antibiotic therapy is ordered.
Inspect urine for color, clarity, and odor.
Provide comfort measures to minimize pain.
Implement measures to reduce body temperature as appropriate, such as wearing lightweight, loose clothing; use cooling blankets as necessary to reduce significantly elevated body temperature.
Encourage bed rest and activity limitations during initial therapy; assist with gradual resumption of activity as condition improves.
Implement energy conservation measures; cluster nursing activities to promote rest.
Encourage the patient to increase fluid intake. Administer oral and/or I.V. fluids as ordered.
Urge good perineal hygiene practices; encourage frequent and complete voiding.
Obtain specimens for laboratory testing, including repeat urine cultures, complete blood counts, and blood cultures as indicated.
disorder, diagnosis, and treatment, including the fact that most patients respond to treatment in approximately 48 hours
temperature monitoring, with notification of the practitioner if temperature is higher than 100° F (37.8° C)
prescribed drug therapy, including drug names, dosages, schedule for administration and duration of therapy, and possible adverse effects
possible changes in the color of urine; for example, phenazopyridine will turn urine orange and stain clothing that comes into contact with urine
possible signs and symptoms of hypersensitivity reactions to prescribed drugs and the need to notify the practitioner
need to complete the full course of therapy, even if feeling better
appropriate hygienic toileting practices, including wiping the perineum from front to back after bowel movements for women
need for rest and minimal activity, including not returning to work for 2 weeks
signs and symptoms of recurrent infection
proper technique for collecting a clean-catch urine specimen
routine follow-up examination and urine cultures, if indicated, especially if the patient has a history of UTIs.