NURS 6541 Pediatrics Week #10 Discussion Post
Case Study 1
You see a 3-year-old with a 2-day history of complaints of dysuria with frequent
episodes of enuresis despite potty training about 7 months ago. She is afebri
...
NURS 6541 Pediatrics Week #10 Discussion Post
Case Study 1
You see a 3-year-old with a 2-day history of complaints of dysuria with frequent
episodes of enuresis despite potty training about 7 months ago. She is afebrile and
denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals:
specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and
glucose-negative.
Differential Diagnosis
Education
Educating the parent on potential causes of UTI, and possible complications is important.
Parents need to be informed that UTI’s often reoccur and if this happens they need to follow up
right away (Habib, 2012). Teaching children proper hand hygiene, increasing fluid intake and
frequent complete voiding are all steps that can help to prevent UTI’s (Burns, et al, 2013).
Taking medications as prescribed for the duration ordered is also important to remind parents.
Teaching children to wipe from front to back will help keep germs from bowel movements
spreading to the urethra (Urology Care Foundation, 2014).Reference
Centers for Disease Control and Prevention(CDC). (2015). Diseases characterized by urethritis
and cervicitis. Retrieved from https://www.cdc.gov/std/tg2015/urethritis-andcervicitis.htm
Bethel, J. (2012). Acute pyelonephritis: risk factors, diagnosis and treatment. Nursing Standard,
27(5), 51-56.
Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric
Primary Care (5th ed.). Philadelphia, PA: Elsevier Saunders.
M. (2012). Take home messages in the management of cystitis. Practice Nurse, 42(12),
13-16.Urology Care Foundation. (2014). UTIs in children: What parents need to know. Retrieved from
http://www.urologyhealth.org/patient-magazine/magazine-archives/2014/fall-2014/utisin-children
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