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Catheter-acquired urinary tract infections - Coggle Diagram

- - - - medication side effect
    - - medication side effect
  - - - can signal a condition in the kidneys or pancreas
    - - can signal a condition in the kidneys or pancreas
  - - - Kidneys are not working properly/ Urinary tract obstruction
    - - Kidneys are not working properly/ Urinary tract obstruction
  - - - Iron deficiency/ Side effect of medication
    - - Iron deficiency/ Side effect of medication
  - - - Indicates injury or stress to muscle tissue
    - - Indicates injury or stress to muscle tissue
  - - - Sign of kidney disease
    - - Sign of kidney disease
  - - - Low RBC due to the large number of WBC (anemia)
    - - Low RBC due to the large number of WBC (anemia)
  - - - anemia
    - - Severe anemia
  - - - Indication of tissue damage
    - - Indication of tissue damage
  - - - Heart attack, peripheral artery disease or stroke
    - - Heart attack, peripheral artery disease or stroke
  - - - Heart disease or sign of metabolic syndrome
    - - Heart disease or sign of metabolic syndrome
  - - - Sign of infection
- - - - RR 14
      - Sats 99% 2 L/NC
      - HR 105
      - Temp 100.7F
      - BP 110/75
      - Pain 2/10
    - - RR 16
      - Sats 96% 1 L/NC
      - HR 100
      - Temp 99.0F
      - BP 108/67
      - Pain 3/10
  - - - RR 16
      - Sats 94% RA
      - HR 88
      - Temp 97.2F
      - BP 127/78
      - Pain 4/10
    - - RR 18
      - Sats 95% RA
      - Pain 3/10
      - BP 100/76
      - HR 90
    - - RR 22
      - Sats 95% RA
      - HR 110
      - Pain 7/10
      - BP 145/88
    - - RR 22
      - Sats 94% RA
      - HR 92
      - Temp 98.0F
      - BP 110/72
      - Pain 8/10
    - - RR 20
      - Temp 100.0F
      - Sats 94% RA
      - HR 88
      - BP 115/70
      - Pain 5/10
    - - RR 18
      - Sats 94% RA
      - HR 86
      - Temp 97.0F
      - BP 110/75
      - Pain 2/10
  - - - RR 22
      - Sats 92% RA
      - HR 110
      - Temp 100.5F
      - BP 98/56
      - Pain 6/10
    - - RR 24
      - Sats 95% 1 L/ NC
      - HR 114
      - Temp 101.2F
      - Pain 5/10
      - BP 89/50
    - - RR 20
      - Sats 95% RA
      - HR 98
      - Temp 98.0F
      - BP 118/75
- - - - Depression
      - Fluid retention, hypokalemia, hypokalemic alkalosis
      - Susceptibility to infection
      - Hypertension
      - Peptic ulceration
  - - - HF, MI, Stroke
      - Asthma, dyspnea
      - Drowsiness
      - GI bleeding, diarrhea, dry mouth
      - Hypersensitivity
  - - - Allergic reaction
      - Stevens-Johnson syndrome
      - Diarrhea, nausea, vomiting
      - Seizures
  - - - Photosensitivity/ Rash
      - Abdominal pain, diarrhea, nausea
      - Hyper/Hypoglycemia
      - Hypersensitivity reactions
  - - - Stevens-Johnson syndrome
      - Hypokalemia
      - Hepatotoxicity
      - renal failure
- - - - After labs are complete WBC, Hemoglobin/Hematocrit, Potassium, Glucose, Cholesterol/Triglycerides and Platelet counts are concerning and surgery is postponed. Patient is started on IV antibiotics, Potassium and receives 1 unit PRBC. Patient is started on short-acting insulin. A PICC is place due to poor venous access.
        
        Then next day patient is improving and is taken to surgery for ORIF of left Hip. 24 hours postop patient's BP drops to 89/50 and fluids are given. Dr. is called with report of BP 89/50, Temp 101.2F, She had elevated WBC and has been on cefazolin IV, Her would site is slightly red with clear, serous drainage, lungs are diminished in the bases, and has been placed on 1L/NC sats at 95%. WBC are at 13000. Indwelling catheter is draining concentrated, cloudy urine
        
        Dr. prescribes: Urine C&S and discontinue indwelling catheter. chest x-ray, IV fluids, acetaminophen, ciprofloxacin. Results: Bilateral atelectasis and bladder and kidney infection. An increase of CAUTI has been noticed on this unit.
- - - - This will help determine treatment of pain
        
        Patient's pain will lessen
    - - To flush out the bacteria and toxins
        
        Voiding the bacteria will help reduce pain
  - - - Remove catheter as soon as possible
    - - Monitor labs for reduced infection