Urinary Tract Calculi (Kidney Stones) Flashcards
Risk factors
Metabolic (uric acid) Climate (warm-summer) Dietary Genetic Lifestyle (immobility; obesity; sedentary lifestyle)
First symptom
sudden severe pain (renal colic) 10/10 p!
Flank area
Ureter stretches, dilates, spasms
most common stone:
calcium oxalate
Common s/s
N/V
“kidney stone dance”
dysuria
fever/chills
costoverterbal flank p!/renal colic
lower abdominal p!
Urinalysis will show
hematuria
crystal formation
straining urine to catch stone
Diagnostic studies
CT scan
ultrasound
two care approaches
manage acute attack
evaluate cause
surgical removal what size of stone?
more than 7 mm
remove stone in bladder
cystoscopy
remember what with procedures?
FLUID is important to break up stones
Nephrostomy Tubes is a
temporary insertion to drain urine
Stays in until stone is passed
staying patient
Calcium phosphate diet
limit animal protein
sodium
possibly dairy
calcium oxalate diet
avoid spinach coco pecans nuts low sodium
struvite diet
avoid dairy
whole grain
red meats
uric acid diet
No alcohol organ meat poultry *PURINES* fish red wine