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Renalcalculippt 130120073155 Phpapp02
Renalcalculippt 130120073155 Phpapp02
GENETIC FACTORS
DRUGS
OTHERS
RISK FACTORS
HISTORY
OF
METABOLIC RENAL
DISTURBANCES CALCULI
DEHYDRATION
SEDENTARY
LIFE STYLE
IMMOBILITY
RISK FACTORS
HIGH MINERAL
CONTENT IN DRINKING
WATER
DIETARY INTAKE
• Decreased inhibitor
substances in the urine that
would otherwise prevent
supersaturation and
crystalline aggregation
TYPES OF STONES
• Calcium Phosphate
• Calcium oxalate
• Uric acid
• Cystine
• Struvite
CLINICAL MANIFESTSTIONS
• Severe
abdominal or
flank pain
• Frequency and
dysuria
• Oliguria and
anuria in
obstruction
CLINICAL MANIFESTSTIONS
• Hematuria
• Renal colic
• Nausea
• hydronephrosis
DIAGNOSTIC STUDIES
DIAGNOSTIC STUDIES
CYSTOSCOPY DIAGNOSTIC STUDIES
DIAGNOSTIC STUDIES
DIAGNOSTIC STUDIES
DIAGNOSTIC STUDIES
RETROGRADE
PYELOGRAM
CT SCAN
24 HOUR URINE
SPECIMEN
LAB INVESTIGATIONS
MANAGEMENT
MEDICAL
• DRUG THERAPY
Opioid agents
NSAIDS
Spasmolytic agents
COMPLIMENTARY THERAPY
•Hypnosis, imagery, therapeutic
or healing touch, acupuncture
and breathing techniques
•Positioning the client to
comfortable position aids in pain
reduction
OTHER TECHNIQUES
• Avoiding over
hydration and
under hydration
• Strain the urine
• Send any strained
stone to laboratory
to aid in preventive
treatment in the
future
SPECIFIC APPROACHES
URINARY CHARACTERIS PREDISPOSING THERAPEUTIC MEASURES
STONE TICS FACTORS
ESWL NEPHROLITHOTOMY
MIDURETER SURGICAL MANAGEMENT
RETROGRADE
ESWL
URETEROSCOPY
ANTEGRADE
OPEN URETERO-
NEPHROSTOURETE
LITHOTOMY
ROLITHOTOMY
DISTAL URETER SURGICAL MANAGEMENT
ESWL/ureteroscopy
Antegrade
nephrostoureterolithotomy
Stenting alone
Open ureterolithotomy
SURGICAL MANAGEMENT
LASER
PERCUTANEOUS
ESWL
OPEN SURGICAL PROCEDURES
NEPHROLITHO PYELOLITHOT
TOMY OMY
URETHROLIT
CYSTOTOMY
HOTOMY
NURSING MANAGEMENT
NURSING DIAGNOSIS
???
?
Genetic
a)Cystic fibrosis
factor
b) sjogrens syndrome
involved in c) gout
renal d) myasthenia gravis
calculi
formation:
?
Stone in the
kidney is a) nephrolithiasis
b) ureterolithiasis
called as
c ) cystolithiasis
d ) cholelithiasis
?
Uric acid
stones can a)Allopurinol
be reduced b)thiazide diuretic
or c)pencillamine
prevented d)potassium citrate
by the use
of:
?
Preferred
opioid agent a)Morphine
used in renal b) ketorolac
calculi pain
c)propanthelene
management
d)tramadol hydrochloride
initially is:
REFERENCES
edn. Missouri:
Saunders;2005
REFERENCES