J.S a 65-year-old woman with diabetes, seeks treatment for dysuria, frequent urination, flank pain, and costovertebral angle tenderness. She has a temperature of 102°F, and under the microscope, her spun urine contains a large number of leukocytes.
Diagnosis: Cystitis With Possible Pyelonephritis
1. List specific goals for treatment.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring success of the therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for second-line therapy?
7. What over-the-counter and/or alternative medications would be appropriate for J.S.?
8. What lifestyle changes would you recommend to J.S.?
9. Describe one or two drug–drug or drug–food interactions for the selected agent.*
