Renal & Ureteral Stones

Question 1

Calcium phosphate stone med

Answer 1

Hydrochlorothiazide (increases renal absorption of calcium)

Aluminum hydroxide gel (decreases phosphate levels)

Question 2

Calcium phosphate stone diet

Answer 2

Avoid Hard cheese, cream, nuts, meats, whole grains cereals, dried fruits and vegetables, kidneys, sardines.
Calcium is only restricted when hypercalciuria is present.

Question 3

Calcium Oxalate med

Answer 3

Cholestyramine (binds to oxalate)
Calcium lactate (precipitates oxalate in GI tract)

Question 4

Calcium Oxalate diet

Answer 4

Avoid spinach, rhubarb, chocolate, cocoa, cola, strawberries, worcestershire sauce, instant coffee

Question 5

Struvite med

Answer 5

Acetohydroxamine acid (acidifies the urine)

Question 6

Uric acid meds

Answer 6

Allopurinol (reduces serum uric acid)
Potassium citrate (Increases urine pH and reduce dietary purines )

Question 7

Uric acid diet

Answer 7

Avoid sardines, herring, liver, kidney, goose, sweetbreads