Recurrent UTI with T2DM with HTN
A 65 year old female housewife by occupation
Diabetic patient having recurrent UTI needs to workout 1 cbc 2 urine for c&s 3 usg abdomen to look for diabetic nephropathy 4 bul and sr creatinine Rx inj feropenum orally 200mg 1bd Or iv inj meropanum Check if pt is on dapagliflozin than hold it as it augments the UTI
RECURENT U T I CAN BE A COMPLECATION.OF D M BUT NOT HYPERTENSION SINCE LONG STANDING UNCONTROLLED D M CAN HAVE FOLLOWING COMPLECATIONS. BESIDES RECURRENT U T I D RETINOPATHY D NEUROPATHY D NEPHROPATHY D ARTHOPATHY D DERMOPATHY PRONE TO C V S C N S DISORDERS ULCERS DIABETIC FOOT DEMENTIA ALZEMERS PERIONDITIS IN PRESENCE OF D RETINOPATHY SEVERITY OF NEPHROPATHY IS MORE
Urine culture and sensitivity to be done Ultrasound for renal function Diabetic diet and treatment Antihypertensive to be given
NEED'S.. HBA1C.. URINE C AND S EXAMINATION.. USG..ABDOMEN..
Treatment of recurrent UTI adv 1) Treatment of current infection with appropriate Antibiotic based on culture 2) Prevention of recurrent UTI - Tablet Bethanechol 25 mg one tablet three times a day Tablet Cranpac D or cranberry juice- three times a day
Alkelizer. Nitrofurontine 100 mg 1 bd x 10 days. CS of urine to rule out ac.Cystitis / Obstructive pathology involved if any.
Recurrent UTI in old age female Tb levoflox 500 mg OD Syp alkasol 2 TSF qid What treatment she is taking for T2 DM Adv USG WA Urine culture sentistivity
Ask for URINE C/S USG OF WHOLE ABDOMEN AND ASK FOR MEDICINE AND STOP SUCH ANTIDIABETIC DRUGS WHICH EXCRETE THROUGH URINE
Adv Urine culture and sensitivity Kft. X ray kub , USG abd and pelvis Rx syp kmac UTI or utimac sachet 1 od in 1 glass of water Control sugar level
Complicated UTI Long term antibiotic according to sensitivity for 14days at least. FAS 3 kit once Usg and pelvis to rule out cystitis Adequate hydration
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