Critique of Nursing Management Essay Example

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Critique of Nursing Management

Critique of Nursing Management

First Day

  • Oral timethroprim BD refers to an antibiotic drug that is used in the treatment of urinary tract infections.

  • Ural sachet 4 hourly refers to the use of the Ural sachet to make the urine alkaline. The main aim for having that prescription is to lower the alkaline level of the urine.

  • Paracetamol was used for temperatures above 300 Celsius because her body temperature was reading 39.5 degrees Celsius which needed to be reduced. Paracetamol is a medication that is used for reducing the fever in the body. Taking paracetamols is mainly to reduce the body temperature to 37 degrees Celsius.

  • The vital signs were observed after every 4 hours because there is need to observe these signs that may be as a result of bacteria multiplication. The multiplication of the bacteria can be a causal factor of some signs like fever while the reduction in number can cause a decline in the temperature (Max, 1997). This was also important for the doctor to know the progress of the patient with response to the medication.

  • The daily weigh was due to due to the fact that she had realized she had a great appetite yet she was not gaining weight. This is very important because it can mean that there is a problem with the body when the appetite is good and yet after eating so much for a while no weight increase.

  • For the blood cultures x 3 is a test that is ordered for patients who are suffering from a higher great fever in the body with unknown origin. The purpose is to confirm bacteriology or septicemia and rule out the issue of the same. It should be noted that the presence of organisms in the body system is a threatening condition. It is very vital in determination of the extent to which the infection has gone. It also helps in the confirmation of the type of organism that has infested the body. They also help in the assessment of antibody’s effectiveness in fighting the pathogens. The following are to be included. They are done just before the patient’s next temperature rise and after the temperature rises (John &Erick, 2007).

  • The blood count and serum was done on the patient for the following reasons. First it should be noted that blood contains different kinds of cells that are very useful in the body. Blood counts will help the doctor to determine the counts of white blood cells and the different types. The white blood cells are useful in the body in that the rise will mean an infestation by bacteria, a burn or bleeding. Leukemia, malaria and cancer are also a cause. Loss of white blood cells may indicate autoimmune problems whereby the antibodies meant to attack diseases in the body ends up attacking the body itself. Viral infection can be indicated by loss of white blood cells (Francis & William, 2006).

  • Mid stream specimen for the urine refers to the collection o f some uncontaminated urine coming from the middle part of the bladder. It entails urination first in the toilet then one catches the streams of the middle urine before finishing urinating. This is the process of trying to collect the less contaminated urine (Haber, 2001). This is used mainly to collect urine that is not contaminated from the skin parts of the patient because the middle stream is free from any form of contamination.

  • Pregnancy test is basically done to determine if a woman is really pregnant. It was done but it should have done because some of the symptoms were presented like pregnancy. One of the symptoms being passing small volumes of urine and very frequently (Harry, 2006). This test was done probably due to the fact that she was on a progesterone pill which is a hindrance to conception.

Two days later

  • Haematuria refers to the presence of red blood cells in a patient’s urine. The reason as to why she experienced this symptom could have been due to a urinary infection. This could be due to a problem with the ureters, kidney and urinary bladder (Angela, 2002). The presence of E . coli bacteria was the main cause of the symptom

  • Dysuria refers to painful urination. This is whereby she was experiencing pain during the process of passing urine. This was due to irritation that she was experiencing in her bladder. This is also associated with frequency in urination as well as haematuria. The experience is characterized by itching, stinging or burning sensation. The reason for that was due to a urinary tract infection caused by the infestation of bacteria E. coli (Graema, 2009).

  • Back pain and Flank is a kind of pain felt in the back due to a kidney infection, bladder infection or even kidney stones. This was due to an infection in the urinary tract system because of the fever that accompanied the symptom.

  • Presence of castes in the urine means a state of an illness in the kidney. It is characterized by the production of cylindrical structures mainly by the kidney (Max, 1997). They mainly form in the collecting ducts connecting the nephrons and the convoluted tubes. They are an indication of an environment where there is protein denaturation and low pH.

  • Fatigue and anorexia means she was always feeling tired and also had a eating disorder. This is whereby she as suffering from the fear of gaining too much weight as a result of her increase in appetite (Angela, 2002). The fatigue was due to refusal of feeding hence the body was weak and suffered from energy insufficiency.

  • E. coli urinary tract infection is an infection that is caused by an organism called Escherichia coli which is the main causal organism for the urinary tract infection (Robert, 2007). This is an infection whose risk factors include frequency in sexual activity, the gender of which she is a lady and her urethra is located close to the anus, and women also lack the properties of bacteria static from prostatic secretions.

  • Ciprofloxin is an antibiotic used for the treatment of bacteria infections. It is chemotherapeutic drug which is synthetic and of the class of flouroquinilone drugs. it deals with the bacteria by interfering with the enzymatic DNA structure of the bacteria and that is how it differs from the TRIMETHOPRIM. Before its administration Martine should have been asked if she has any renal problem because it can cause a kidney failure (Stuart & peter, 2000).

  • 4kg weight gain in weight could be due to water retention

There are some other tests which should have been done for the patient like test for diabetes. This is due to the presence of glucose in the urine as well as the fact that the patient was urinating frequently and the manner in which the patient was getting thirsty.


Angela, K. 2002. The patient’s encyclopedia of urinary tract infection, sexual cystitis and interstitial cystitis. New York: Palgrave Macmillan.

Francis, O., William, B. 2006. Urinary tract infection: proceedings of the first national symposium held in London. London: Tavistock.

Graema, R. 2009. Urinary tract infection. . London: Thomson.

Haber, M. 2001. Urinary Sediment: A Textbook Atlas. American Society of Clinical Pathologists, Chicago. New York: Pearson Education.

Harry, L. 2006. Urinary tract infection: molecular pathogens and clinician management. California: Cengage Learning.

John, D. & Erick, J. 2007. Urinary tract infection. New York: John Wiley & Sons.

Krista, W. 2006. Urinary tract infections. London: Kogan Page Publishers.

Max, S. 1997. Escherichia Coli: mechanism of virulence. California: Cengage Learning EMEA.

Robert, W. 2007. Diseases of the kidney and urinary tract. New York: John Wiley & Sons.

Stuart, L. & peter, L. 2000. Urinary tract infection in the female. London: Kogan Page Publishers.