Urinary Calculi

Question 1

What are clinical manifestations of urinary calculi?

Answer 1

1. renal colic (severe pain) which causes diaphoresis and pallor
2. hematuria
3. oliguria/anuria (stone is blocking the ureters which blocks urine from leaving the body)
4. tachycardia and tachypnea
5. increased or decreased BP

Question 2

What are nursing interventions that the nurse can perform with a patients who have urinary calculi?

Answer 2

1. assess pain
2. monitor Is and Os
3. strain urine to look for stones
4. encourage fluids

Question 3

What is extracorporeal shock wave lithotripsy?

Answer 3

the shock wave lithotripsy is a procedure where there will be a breakdown of stones into smaller pieces so that they can be passed more easily

Question 4

What type of foods should be avoided in the diet if the patient has urinary calculi?

Answer 4

avoid oxalate sources, high phosphate foods, sodium, calcium and purine sources

Question 5

what medications can be given for treatment urinary calculi?

Answer 5

thiazide diuretics, sodium bicarbonate, and allopurinol

Question 6

what is the purpose of taking allopurinol?

Answer 6

prevents formation of uric acid

Question 7

what is the purpose of taking sodium bicarbonate?

Answer 7

raises pH of urine