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Nephrolithiasis

Renal 2 Exam

QuestionAnswer
Stones are more common in men ____ to ____ years of age 30-50
50% of single renal calculi will have another within ____ years 5
Causes dehydration, Increased Ca
Risk factors for formation include Dehydration, infection, urinary statis, immobility
____ and ____ account for 75% of stones. Ca, Phos
Medication r/t stone formation Antacids, Acetazolamine/Diamox, Vit D, laxative, Hi dose aspirin
Sym Abd/flank pain-extends to groin area, renal colic, N/V, hematuria
#1 priority Relive pain, N/V
Dx H&P, UA, C&S, Renal US or CT, increased BUN, creat, uric acid, KUB or flat plate abd
Tx Pain: Morphine, antispasmodics, NSAIDS, flomax, zofran, toradol, ATB
If stone >____cm, must be removed endoscopic, lithitripsy, surgical incision 4mm
Send stone to lab to check _______ composition
Teaching Stay active, increase fluids, may need to decrease Ca, Na, and Phos food intake
Created by: mreedy
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