Lower Urinary Tract Infection

2. Diagnosis: UTI.

3. Condition:

4. Vital signs: tid. Call physician if BP <90/60; >160/90; R >30, <10; P >120, <50; T >38.5°C

5. Activity: Up ad lib

6. Nursing:

7. Diet: Regular

9. Special Medications:

Lower Urinary Tract Infection (treat for 3-7 days):

-Trimethoprim-sulfamethoxazole (Septra) 1 double strength tab (160/800 mg) PO bid.

-Norfloxacin (Noroxin) 400 mg PO bid. -Ciprofloxacin (Cipro) 250 mg PO bid. -Ofloxacin (Floxin) 200 mg PO bid. -Lomefloxacin (Maxaquin) 400 mg PO qd.

-Enoxacin (Penetrex) 200-400 mg PO q12h; 1h before or 2h after meals. -Cefpodoxime (Vantin) 100 mg PO bid. -Cephalexin (Keflex) 500 mg PO q6h. -Cefixime (Suprax) 200 mg PO q12h or 400 mg PO qd. -Cefazolin (Ancef) 1-2 gm IV q8h. Complicated or Catheter-Associated Urinary Tract Infection:

-Ceftizoxime (Cefizox) 1 gm IV q8h.

-Gentamicin 2 mg/kg, then 1.5/kg q8h or 7 mg/kg in 50 mL of D5W over 60

min IV q24h. -Ticarcillin/clavulanate (Timentin) 3.1 gm IV q4-6h -Ciprofloxacin (Cipro) 500 mg PO bid. -Ofloxacin (Floxin) 400 mg PO bid. Prophylaxis (ä3 episodes/yr):

-Trimethoprim/SMX single strength tab PO qhs. Candida Cystitis

-Fluconazole (Diflucan) 100 mg PO or IV x 1 dose, then 50 mg PO or IV qd for 5 days OR

-Amphotericin B continuous bladder irrigation, 50 mg/1000 mL sterile water via 3-way Foley catheter at 1 L/d for 5 days.

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