Case Study #3: Management of Urinary Tract Infection in Pregnancy with Penicillin Allergy

Week 4: Discussion Question – Case Study

Discussion Topic: Case Study #3

18 yo female presents with fever, dysuria, and frequency for about 2 days. She reports being 12 weeks pregnant. Denies any nausea or vomiting. She reports she is allergic to Penicillin.

• Exam showed Vital Signs:
  • Blood pressure 110/80, pulse 105, respirations 22, temp 38.7 ℃, Weight 95 lbs
• HEENT: Bilat tympanic membranes bulging, clear nasal discharge, erythema in the posterior pharynx on left side only, neck supply without adenopathy
• Cardio Vascular: regular rate and rhythm, no murmurs
• Respiratory: Clear equal bilaterally breath sounds
• Abdomen: soft, mild suprapubic tenderness, no distention bowel sounds equal and active in all quadrants.
• Labs: UA: ++ leukocytes, + nitrates, + blood

Diagnosis:

• Urinary Tract Infection
• Pregnancy

Q1. Discuss what are the potential treatments for this child’s diagnosis

Q2. What antibiotic/s should be given for this patient’s diagnosis?

Q3. How long should you prescribe the chosen antibiotic?

Q4. What teaching would you give this child’s parents on the prescription

Q5. Write out a correct prescription for the antibiotic you are going to prescribe for this patient. (Be sure to include all elements needed for a correct prescription)

Expectations:

• Length: 2 page, 500 words minimum
• Citations: Four high-level scholarly reference in APA from within the last 5 years