Please enable JavaScript.
Coggle requires JavaScript to display documents.
Renal Calculi renal calculi (Diagnostic procedures (IV pyelogram,…
Renal Calculi
Definition
Clumps of mineral salts that accumulate on inner lining of kidneys
Pathophysiology
Caused by mucoprotiens bind to mass of stone
Lack of inhibitors
Matrix formation
Caused by increased / absent protectors against stone formation
Supersaturation of urine with high solutes
Clinical manifestation
Foul smelling urine
Nausea and vomitting
Blood with urine
Chills
Pain on urination
Fever
Frequent need to urinate
Urinating small amounts of urine
Causes
Hyperparathyroid condition
Gastric bypass surgery
Urinary tract infection
High protein,salt,glucose diet,
Certain medication
Obesity
Inflammatory bowel disease
Dehydration
Diagnostic procedures
IV pyelogram
Retrograde pyelogram
Abdominal x-ray
Ultrasound of kidneys
Urinalysis
MRI scan of abdoman and kidney
Blood urea nitrogen test
CT scan of abdomen
Blood tests
Pharmacology
Pyridoxine
Oral calcium supplements
Cholestyramin
Orthophosphates
Sodium bicarbonate
Thiazides diuretics
Tylenol
Sodium Cellulose phosphate
Naproxen sodium
Nursing intervention
Administer adequate floods
Maintain IV patency
Administer medication as prescribed
Strain urine
Treat urinary tract infection
Position patient for comfort
Relieve pain - analgesics
Related surgery
Open surgery
Cystotomy
Percutaneous nephrolithotomy
Ureteroscopy
Shock wave lithotripsy
Diet therapy
Eat less animal protein
Avoid Vitamin C supplements
Eat fewer oxalate rich foods
Eat low sodium foods
Stay hydrated
