Acute Pyelonephritis : Nursing Management

Nursing Management

  • Nursing Assessment
    • Mild Symptoms
      • Outpatient management or short hospitalization
        • Adequate fluid intake
        • Nonsteroidal anti-inflammatory drugs (NSAIDs) or antipyretic drugs
        • Follow-up urine culture and imaging studies
    • Severe Symptoms
      • Hospitalization
      • Adequate fluid intake (parenteral initially; switch to oral fluids as nausea, vomiting, and dehydration subside)
      • NSAIDs or antipyretic drugs to reverse fever and relieve discomfort
      • Follow-up urine culture and imaging studies
  • Nursing Planning
    • The overall goals are that the patient with pyelonephritis will have
      • Normal renal function
      • Normal body temperature
      • No complications
      • Relief of pain
      • No recurrence of symptoms
  • Nursing Implementation
    • Nursing interventions vary depending on the severity of symptoms.
    • These interventions include teaching the patient about the disease process with emphasis on
      • Continuing medications as prescribed
      • Having a follow-up urine culture
      • Recognizing manifestations of recurrence or relapse
      • In addition to antibiotic therapy, encourage the patient to drink at least eight glasses of fluid every day, even after the infection has been treated.
      • Rest will increase patient comfort.