Urinary Tract Calculi (Kidney Stones)

Question 1

Risk factors

Answer 1

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

Question 2

First symptom

Answer 2

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

Question 3

most common stone:

Answer 3

calcium oxalate

Question 4

Common s/s

Answer 4

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

costoverterbal flank p!/renal colic
lower abdominal p!

Question 5

Urinalysis will show

Answer 5

hematuria
crystal formation

straining urine to catch stone

Question 6

Diagnostic studies

Answer 6

CT scan

ultrasound

Question 7

two care approaches

Answer 7

manage acute attack

evaluate cause

Question 8

surgical removal what size of stone?

Answer 8

more than 7 mm

Question 9

remove stone in bladder

Answer 9

cystoscopy

Question 10

remember what with procedures?

Answer 10

FLUID is important to break up stones

Question 11

Nephrostomy Tubes is a

Answer 11

temporary insertion to drain urine
Stays in until stone is passed

staying patient

Question 12

Calcium phosphate diet

Answer 12

limit animal protein
sodium
possibly dairy

Question 13

calcium oxalate diet

Answer 13

avoid spinach
coco
pecans
nuts
low sodium

Question 14

struvite diet

Answer 14

avoid dairy
whole grain
red meats

Question 15

uric acid diet

Answer 15

No alcohol
organ meat
poultry
*PURINES*
fish
red wine

Question 16

Cystine diet

Answer 16

animal proteins

Question 17

Purines what are they?

Answer 17

sardines muscles liver kidney goose

Question 18

complication of stones?

Answer 18

Urosepsis

Question 19

signs of UTI

Answer 19

fever
tachycardia
p!with urination
cloudy urine