Urinary Tract Calculi (Kidney Stones) Flashcards

1
Q

Risk factors

A
Metabolic (uric acid)
Climate (warm-summer)
Dietary
Genetic
Lifestyle (immobility; obesity; sedentary lifestyle)
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2
Q

First symptom

A

sudden severe pain (renal colic) 10/10 p!
Flank area
Ureter stretches, dilates, spasms

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3
Q

most common stone:

A

calcium oxalate

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4
Q

Common s/s

A

N/V
“kidney stone dance”
dysuria
fever/chills

costoverterbal flank p!/renal colic
lower abdominal p!

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5
Q

Urinalysis will show

A

hematuria
crystal formation

straining urine to catch stone

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6
Q

Diagnostic studies

A

CT scan

ultrasound

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7
Q

two care approaches

A

manage acute attack

evaluate cause

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8
Q

surgical removal what size of stone?

A

more than 7 mm

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9
Q

remove stone in bladder

A

cystoscopy

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10
Q

remember what with procedures?

A

FLUID is important to break up stones

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11
Q

Nephrostomy Tubes is a

A

temporary insertion to drain urine
Stays in until stone is passed

staying patient

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12
Q

Calcium phosphate diet

A

limit animal protein
sodium
possibly dairy

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13
Q

calcium oxalate diet

A
avoid spinach
coco
pecans
nuts
low sodium
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14
Q

struvite diet

A

avoid dairy
whole grain
red meats

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15
Q

uric acid diet

A
No alcohol
organ meat
poultry
*PURINES*
fish
red wine
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16
Q

Cystine diet

A

animal proteins

17
Q

Purines what are they?

A

sardines muscles liver kidney goose

18
Q

complication of stones?

A

Urosepsis

19
Q

signs of UTI

A

fever
tachycardia
p!with urination
cloudy urine