XIX.

MEDICAL-SURGICAL MANAGEMENT
a. Diet

DATE ORDERED INDICATION/ TYPES OF FOOD CLIENT’’S

TYPE OF DIET PURPOSE TAKEN RESPONSE
01/25/2020
Diet as tolerated It is interpreted wide choice of foods Client was compliant
according to the and includes almost on the type of diet
client’s appetite and everything (1 cup of ordered
ability to eat and to rice, 1 cup of
tolerate food. vegetables/vegetables,
1 piece of meat viand)
 c. Surgery – Percutaneous Nephrolithotripsy
Involves first visualizing the stone and then destroying it. Access to the stone is accomplished by
inserting a ureteroscope into the ureter and then inserting a laser, electrohydraulic lithotriptor, or
ultrasound device through the ureteroscope to fragment and remove the stones.

d. Special Procedures – Double J Stent

A stent is a soft, hollow, plastic tube. Ureteral stents are placed temporarily in the ureter which is
the tube that drains ursine from the kidney into the bladder. It allows drainage around a stone or
can speed up healing after stone surgery and to ensure that swelling does not block the drainage
of urine after the procedure. A double-J stent is a ureteral stent with curving ends to prevent the
stent from slipping into the bladder/kidney.
Ceftriaxone 1 gm IV OD
Paracetamol 1 gm3 doses Q8
Paracexib 40 mg Q12 2 doses
Oxycodone 4 mg IV

Amlosar 50 mg/5mg tab OD

Cetra tab 2 days Q8
Celecoxib 200 mg/cap 10 days BID