click below
click below
Normal Size Small Size show me how
Nephrolithiasis
Renal 2 Exam
Question | Answer |
---|---|
Stones are more common in men ____ to ____ years of age | 30-50 |
50% of single renal calculi will have another within ____ years | 5 |
Causes | dehydration, Increased Ca |
Risk factors for formation include | Dehydration, infection, urinary statis, immobility |
____ and ____ account for 75% of stones. | Ca, Phos |
Medication r/t stone formation | Antacids, Acetazolamine/Diamox, Vit D, laxative, Hi dose aspirin |
Sym | Abd/flank pain-extends to groin area, renal colic, N/V, hematuria |
#1 priority | Relive pain, N/V |
Dx | H&P, UA, C&S, Renal US or CT, increased BUN, creat, uric acid, KUB or flat plate abd |
Tx | Pain: Morphine, antispasmodics, NSAIDS, flomax, zofran, toradol, ATB |
If stone >____cm, must be removed endoscopic, lithitripsy, surgical incision | 4mm |
Send stone to lab to check _______ | composition |
Teaching | Stay active, increase fluids, may need to decrease Ca, Na, and Phos food intake |