Renal Calculi Chapter 61 ATI ALT PDF

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Summary

Renal Calculi Chapter 61 ATI ALT...

Description

System Disorder

ACTIVE LEARNING TEMPLATE:

Berry ST UDENT NAME Casey _____________________________________ Renal Calculi DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

61 REVIEW MODULE CHAPTER ___________

Pathophysiology Related to Client Problem Recurrence is increased in individuals who have a family hx or whose first occurrence of renal calculi prior to the age of 25

The presence of calculi (stones) in the urinary tract

Health Promotion and Disease Prevention Factors that influence whether a claculus will pass spontaneously or not include the composition, size and location calculus

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings Severe pain (flank) Urinary frequency or dysuria Fever Pallor Diaphoresis N/V Tachycardia, tachypnea, increase BP

Cause is unknown Increased incidence in males Genetic predispositions Urinanry tract lining damage

Laboratory Tests

Diagnostic Procedures

Urine is analyzed for pH, specific gravity and osmolarity

Radiology examination CT or MRI of ABD and pelvis Renal U/S or cystocopy

PATIENT-CENTERED CARE

Nursing Care Report lab and diagnositic findings to provider Administer IV fluids Monitor pain status Stain all urine

Therapeutic Procedures ESWL Non surgical chemolysis Surgical interventions: -Stenting -Retrograde ureteroscopy -Percutaneous ureterolithotomy

ACTIVE LEARNING TEMPLATES

Limit intake of food high in animal protein Limit sodium intake Reduced calcium intake (dairy products) is individualized

Complications Medications Analgesics -Opoids -NSAIDs Spasmolytic -oxybutynin Antibiotics -gentamincin -cephalexin Thiazide & allopurinol can be used to increase the excretion of calculi & decrease pH in urine

Client Education Adhere to the diet and medications in the treatment for prevention of renal calculi formation Watch for bleeding Dizziness and dry mouth are common

Urosepsis Obstruction Hydronephrosis

Interprofessional Care Urology services Nutritional services

THERAPEUTIC PROCEDURE

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