Flashcards in study guide questions Deck (5)
similarities & diffs in management of Ca2+ oxalate & uric acid kidney stones
1) increase fluid intake
2) reduce urinary Ca
3) reduce urinary oxalate
4) increase natural inhibitors of crystal formation-citrate, Mg
Uric acid = DITTO + low purine diet && maintain alkaline urine (>6pH)
what type of fluids should be emphasized and which reduced?
good = black tea, coffee, milk, beer, wine
bad= grapefruit, apple, cranberry juice, soft drinks
explain how using certain quantitative urine tests can help guide Dr in managing kidney stones
24-h urine analysis = ddx: abortive hypercalciuria = should still take calcium
how can Ca supplements be made safer for patients with a Hx of kidney stones?
--supplementation = should be taken with a meal so it can bind to the dietary oxalate
--citrate forms of Ca &/or Mg may increase benefits