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Urolithiasis: Nursing Management Guide

The document discusses urolithiasis, also known as kidney stones, including their causes, symptoms, diagnostic tests, medical and surgical treatments, nursing care and management. Kidney stones form when substances like calcium, oxalate, and uric acid crystallize in the urine and can cause pain, bleeding, and potentially block the urinary tract if not treated. Nursing focuses on relieving pain, preventing infections, educating patients on prevention and monitoring for complications.
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0% found this document useful (0 votes)
47 views15 pages

Urolithiasis: Nursing Management Guide

The document discusses urolithiasis, also known as kidney stones, including their causes, symptoms, diagnostic tests, medical and surgical treatments, nursing care and management. Kidney stones form when substances like calcium, oxalate, and uric acid crystallize in the urine and can cause pain, bleeding, and potentially block the urinary tract if not treated. Nursing focuses on relieving pain, preventing infections, educating patients on prevention and monitoring for complications.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Urolithiasis

(Renal Calculi)
PRINCE JUNE CRUZ KITANE, RN MAN
Facts
• Urolithiasis refers to stones (calculi) in the urinary tract.
• Stones are formed in the urinary tract when the urinary
concentration of substances such as calcium oxalate, calcium
phosphate, and uric acid increases.
• Stones vary in size from minute granular deposits to the size of an
orange.
• Factors that favor formation of stones include infection, urinary
stasis, and periods of immobility, all of which slow renal drainage and
alter calcium metabolism.
• The problem occurs predominantly in the third to fifth decades and
affects men more often than women.
Pathophysiology
• Presence of stones anywhere in the urinary tract
• Most commonly found in the renal pelvis and calyces
• Stones forming in the kidney—nephrolithiasis
• Stones formed in the ureters—ureterolithiasis
• May be single or multiple calculi, ranging in size from a grain of salt to the
size of a pebble or staghorn calculus
• Composition of calculi
• Formed of mineral deposits—predominantly calcium oxalate and calcium
phosphate
• Uric acid, struvite, and cystine are also calculus formers
Etiology
• Slow urine flow allows accumulation of crystals
• May remain asymptomatic until passed into a ureter or
urine flow is obstructed
• Causes:
• dehydration; heredity; excessive intake of vitamins C and D,
grapefruit juice, and purines (gout); congenital renal
abnormalities; and some medications, such as acetazolamide
(Diamox) or indinavir (Crixivan)
Clinical Manifestations
• Manifestations depend on the presence of obstruction, infection, and
edema. Symptoms range from mild to excruciating pain and
discomfort.

• Stones in Renal Pelvis


• Intense, deep ache in costovertebral region
• Hematuria and pyuria
• Pain that radiates anteriorly and downward toward bladder in female and
toward testes in male
• Acute pain, costovertebral area tenderness (renal colic)
• Abdominal discomfort
• Ureteral Colic (Stones Lodged in Ureter)
• Acute, excruciating, colicky, wavelike pain, radiating down the thigh to the
genitalia
• Frequent desire to void, but little urine passed; usually
contains blood because of the abrasive action of the stone (known as ureteral
colic)

• Stones Lodged in Bladder


• Symptoms of irritation associated with urinary tract infection and hematuria
• Urinary retention, if stone obstructs bladder neck
• Possible urosepsis if infection is present with stone
Diagnostic Methods
• Urinalysis
• Urine culture
• Biochemical survey
• Serum and urine BUN and Creatinine.
• Serum chloride and bicarbonate levels
• CBC
• Parathyroid hormone (PTH)
• KUB x-ray
• IVP (intravenous pyelogram)
• Cystourethroscopy
• CT scan
• Ultrasound of kidney
Medical Management
• Basic goals are to eradicate the stone, determine the stone type,
prevent nephron destruction, control infection, and relieve any
obstruction that may be present.

• Pharmacologic and Nutritional Therapy


• Opioid analgesic
• Increased fluid
• For calcium stones: reduced dietary protein and sodium intake
• For uric stones: low purine and limited protein diet
• For cystine stones: low protein diet
• For oxalate stones: dilute urine; limited oxalate intake
• Stone Removal Procedures

• Ureteroscopy
• Extracorporeal shock wave lithotripsy (ESWL).
• Percutaneous nephrostomy
• Electrohydraulic lithotripsy.
• Chemolysis (stone dissolution)
• Surgical removal is performed in only 1% to 2% of patients.
Nursing Management
• Nursing Assessment
• Assess for pain and discomfort
• Assess for associated symptoms
• Observe for signs of urinary tract infection
• Observe urine for blood
• Focus history on factors that predispose patient to urinary tract
• Assess patient’s knowledge about renal stones and measures to prevent
recurrence.
• Nursing Diagnoses
• Acute pain related to inflammation, obstruction, and abrasion of the urinary
tract
• Deficient knowledge regarding prevention of recurrence of renal stones

• Collaborative Problems/Potential Complications


• Infection and urosepsis (from urinary tract infection and pyelonephritis)
• Obstruction of the urinary tract by a stone or edema, with subsequent acute
renal failure

• Planning and Goals


• Major goals may include relief of pain and discomfort, prevention of
recurrence of renal stones, and absence of complications.
• Nursing Interventions
• Relieving Pain
• Administer opioid analgesics (IV or intramuscular)
• Position of comfort.
• Ambulate
• Pain Monitoring

• Monitoring and Managing Complications


• Increase Fluid Intake
• Monitor Input and Output
• Ambulation
• Strain urine through gauze.
• Crush any blood clots passed in urine.
• Instruct patient to report decreased urine volume, bloody or cloudy urine, fever, and
pain.
• Instruct patient to report any increase in pain.
• Monitor vital signs.
Health Education
• Explain causes of kidney stones and ways to prevent recurrence.
• Encourage patient to drink fluids
• Urine Culture.
• Encourage increased mobility whenever possible
• If patient had surgery, instruct about the signs and symptoms of
complications
• If patient had ESWL, encourage patient to increase fluid intake to
assist in the passage of stone fragments;
• Provide instructions for any necessary home care and follow-up.
ESWL home and follow up care
• Instruct patient to increase fluid intake
• Instruct patient about signs and symptoms of complications:
• Inform patient that hematuria is anticipated
• Give appropriate dietary instructions.
• Encourage regimen to avoid further stone formation;
• Teach patient to take sufficient fluids in the evening
Continuing Care
• Closely monitor the patient
• Assess the patient’s understanding of ESWL and
possible complications
• Assess the patient’s ability to monitor urinary pH
• Ensure that the patient understands the signs and symptoms of
stone formation
• If medications are prescribed for the prevention of
stone formation, explain their actions, importance, and side effects
to the patient.

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