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NCP Dysuria

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CUES/ NURSING DX Risk factors for interstitial cystitis/painful bladder syndrome.

SCIENTIFIC ANALYSIS Dysuria is painful urination. This pain, discomfort or burning sensation during urination is actually a common problem. Dysurias burning pain is often caused by some sort of infection, but not always. Something pressing against your bladder or stuck near its entrance can be a cause for painful urination. This type situation may occur if you have an ovarian cyst or kidney stone. If a urinary tract infection, gonorrhea or chlamydia is the likely cause for your burning dysuria, appropriate antibiotics may be prescribed ahead of lab test confirmation.

OBJECTIVES After 8 hours of nursing intervention, the patient will reduce pain scale of 7 to 4. (-) sunken eyes

NURSING INTERVENTIONS 1. Record urinary output; investigate sudden reduction/cessation of urine flow. 2. Encourage increased fluids & maintain accurate fluids. 3. Monitor BP & HR.

RATIONALE 1. Sudden decrease in urine flow may indicate obstruction/ dysfunction or dehydration. 2. Maintain hydration & good urine flow. 3. Orthostatic hypotension & tachycardia suggest hypovolemia. 4. Decreased flow may reflect urinary retention with increase pressure in Upper Urinary Tract. 5. Relieve pain enhances comfort & promotes rest.

EVALUATION

Signs & Symptoms: Subjective: Maul-ul tak likod as verbalized by the patient & rated at the pain scale of 7 out of 10. Objectives: T= 36.2 C BP= 100/60 mmHg P=67 bpm R=20 cpm (+) good skin turgor (+) moist mucous membranes (+) stable weight & VS (+) sunken eyes (+) conscious (+) clear speech

4. Note urine flow & characteristics.

Ref: Brunner & Suddarths Medical-Surgicaal Nursing (Volume 2)

5. Administer medication as indicated eg. Analgesic & antibiotcs. 6. Monitor laboratory studies.

6. To indicate urinalysis status.

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