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Mental Status Altered Due To Hallucination. Having UTI. What Is The Priority Assessment And Intervention?

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Posted on Wed, 23 Oct 2013
Question: what is the priority assessment of altered mental status r/t hallucination aeb uti.

doctor
Answered by Dr. Srikanth Reddy (10 minutes later)
Brief Answer:
Deatils

Detailed Answer:
Hello
Thanks for using health care magic for posting your query.
It seems there was a priority health assessment for the reason of hallucinations causing an altered mental status. Also there was an accompanying urinary Tract Infection.
I cant make out more from it.
If you need any further details, provide some health details and we can answer you if you have any specific query.
Regards
Dr. Srikanth Reddy MD
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (5 minutes later)
what is the intervention and priority assessment of uti
thank
my pt was diagnosis uti,gout,cva what s the priority assessment and intervention.
thaks
doctor
Answered by Dr. Srikanth Reddy (9 minutes later)
Brief Answer:
Details as asked

Detailed Answer:
Hello
Thanks for the follow-up question.
From your first question, I felt you wanted an interpretation of "priority assessment of altered mental status r/t hallucination aeb uti." . It thought is was some health document statement.
I apologize if I took it wrong.
See UTI ( a common short form for delirium and then there can be altered mental state with hallucinations. But generally its very rare.
For UTI the primary assessment would be to get a complete blood count (showing a raised WBC count), a urinary microscopy (showing WBC in urine).
The intervention would be to take plenty of water to wash out the bacteria along with antibiotics such as cefexime for 5 days.
If there is a fever then the same needs to be managed by paracetamol.
Regarding the altered mental state with hallucinations, its difficult to judge the cause unless you are aware of the age and the organic causes behind it. It could be a primary psychosis or a mood disorder or an organic cause such as fever, head injury, substance withdrawal. Hence examination is essential.
CVA will need prophylaxis with aspirin and clopidogril. along with the necessary physiotherapy.
Gout responds to allopurinol. Also the levels of uric acid needs to be monitored.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Mental Status Altered Due To Hallucination. Having UTI. What Is The Priority Assessment And Intervention?

Brief Answer:
Deatils

Detailed Answer:
Hello
Thanks for using health care magic for posting your query.
It seems there was a priority health assessment for the reason of hallucinations causing an altered mental status. Also there was an accompanying urinary Tract Infection.
I cant make out more from it.
If you need any further details, provide some health details and we can answer you if you have any specific query.
Regards
Dr. Srikanth Reddy MD
Psychiatrist