response to 2 reflective post

Hi need 1 paragraph response to  (2) reflective posts

  1. for Jason: During this clinical rotation, it has been an eye opening. On the second day of clinical I had this 34 year old African American female who presented as a walk-in for a UTI. The patient stated she had been having painful urination and frequency for over three weeks. I had ask her if she notice if her urine smells foul and milky after urinating. She said yes, she had notice that it started to smell awful and that was the reason she decided to come in as a walk-in. She stated she has frequent UTIs. I decided to do an UA and found she had a trace of a nitrites, leukocytes, and possible bacteria. So I made the decision to have her urine sent out for urine culture to see if she has a bacteria that needs to be treated with stronger antibiotics. Then, Dr. Bowles  walks in and ask what brought the patient in? I began telling Dr. Bowlers that patient present to to the clinic for UTI with symptoms of painful urination, foul smelling urine and frequency. I told him I did a UA which was positive for nitrites, leukocytes, and trace of bacteria. Dr. Bowlesasked, “What does it mean to have Nitrites in the urine analysis?” According (U.S. National Library of Medicine, 2020), normal urine has the presence of nitrates, but when bacteria enters into the urinary tract, those nitrates will create a chemical called nitrites which determines the patient has a urinary tract infection (UTI). I never thought about the process of nitrates forming into nitrites, but I always knew that nitrites considered the person having a UTI. I recommended that the patient be placed on Flagyl 750 mg once daily for 10 days to treat the UTI. Dr. Bowles prescribed Macrobid 100mg twice a day for 7 days instead for her treatment. I thought Flagyl would be the best option, but Dr. Bowles said it could treat the UTI but he like Macrobid better. The clinic was closed the next day and I was not in clinic the following day to get the urine culture to find out of the patient had a bacteria. I felt that the plan of action with Flagyl would have helped better for this patient and could have treated her bacteria as well. According to (Mayo clinic, 2022), Flagyl can be used treat many different bacteria infections in the body by killing the bacteria and preventing the bacteria from growing. I educated the patient to drink tons of water and take all antibiotics even if symptoms relieve or the infection could come back. What I did not consider was doing an STD test to determine if she had an STD. I should have ruled that out or asked Dr. Bowles if he would like to do an STD panel on this patient to determine if her symptoms were UTI related or an STD. I should have ask the patient when was her last sexual encounter and if she used protection. My plan in the future will be to ask more question regarding secual encounters, if protection was used, recommend doing an STD test on the urine and blood work, and determine what antibiotic would be best course of action after reviewing patients answers. 
  2. MARY: During this clinical rotation, it has been an eye opening. On the second day of clinical I had this 34 year old African American female who presented as a walk-in for a UTI. The patient stated she had been having painful urination and frequency for over three weeks. I had ask her if she notice if her urine smells foul and milky after urinating. She said yes, she had notice that it started to smell awful and that was the reason she decided to come in as a walk-in. She stated she has frequent UTIs. I decided to do an UA and found she had a trace of a nitrites, leukocytes, and possible bacteria. So I made the decision to have her urine sent out for urine culture to see if she has a bacteria that needs to be treated with stronger antibiotics. Then, Dr. Bowles  walks in and ask what brought the patient in? I began telling Dr. Bowlers that patient present to to the clinic for UTI with symptoms of painful urination, foul smelling urine and frequency. I told him I did a UA which was positive for nitrites, leukocytes, and trace of bacteria. Dr. Bowlesasked, “What does it mean to have Nitrites in the urine analysis?” According (U.S. National Library of Medicine, 2020), normal urine has the presence of nitrates, but when bacteria enters into the urinary tract, those nitrates will create a chemical called nitrites which determines the patient has a urinary tract infection (UTI). I never thought about the process of nitrates forming into nitrites, but I always knew that nitrites considered the person having a UTI. I recommended that the patient be placed on Flagyl 750 mg once daily for 10 days to treat the UTI. Dr. Bowles prescribed Macrobid 100mg twice a day for 7 days instead for her treatment. I thought Flagyl would be the best option, but Dr. Bowles said it could treat the UTI but he like Macrobid better. The clinic was closed the next day and I was not in clinic the following day to get the urine culture to find out of the patient had a bacteria. I felt that the plan of action with Flagyl would have helped better for this patient and could have treated her bacteria as well. According to (Mayo clinic, 2022), Flagyl can be used treat many different bacteria infections in the body by killing the bacteria and preventing the bacteria from growing. I educated the patient to drink tons of water and take all antibiotics even if symptoms relieve or the infection could come back. What I did not consider was doing an STD test to determine if she had an STD. I should have ruled that out or asked Dr. Bowles if he would like to do an STD panel on this patient to determine if her symptoms were UTI related or an STD. I should have ask the patient when was her last sexual encounter and if she used protection. My plan in the future will be to ask more question regarding secual encounters, if protection was used, recommend doing an STD test on the urine and blood work, and determine what antibiotic would be best course of action after reviewing patients answers. 

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Response to 2 reflective post 1

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