HCAL 2 - Exam 3
renal calculi risk factors - Answer-males, genetics, metabolic defects, dehydration, urinary
stasis/retention, first occurrence before the age of 25
major components of renal calculi - Answer-calcium phosphate, calcium oxalate, uric acid, struvite, and
cystine
clinical manifestations of renal calculi - Answer-sudden/severe pain, nausea/vomiting, dysuria, fever,
and chills
lab tests for renal calculi - Answer-RBCs, WBCs, and bacteria = INCREASED
ABNORMAL LEVELS of calcium, phosphate, and uric acid
DECREASED pH indicates what type of calculi - Answer-uric acid, cystine stones
INCREASED pH indicates what type of calculi - Answer-calcium or struvite stones
, medications used for renal calculi - Answer-opioids (morphine), NSAIDs (Ketorolac), Spasmolytics
(oxybutynin), Antibiotics (getamicin and cephalexin), thiazide diuretics and allopurinol
what do you monitor for when a patient with renal calculi is on gentamicin? - Answer-nephrotoxicity
therapeutic procedures for renal calculi - Answer-extracorporeal shock wave lithotripsy (ESWL),
chemolysis, stenting, and open surgery
ureterolithotomy - Answer-incision into the ureter to remove a stone
pyeloithotomy - Answer-incision into the renal pelvis to remove a stone
nephrolithotomy - Answer-incision into a kidney to remove a stone
extracorporeal shock wave lithotripsy (ESWL) - Answer-breakdown of kidney stones using sound waves
generated outside the body
complications of renal calculi - Answer-urosepsis, obstruction, hydronephrosis
hydronephrosis - Answer-urine backs up and causes distention of the kidney(s)
complication of renal calculi obstruction - Answer-can predispose the client to hydroureter
hydroureter - Answer-the distention of the ureter due to back up of urine
renal calculi prevention - Answer-limit intake of animal protein, reduce calcium and sodium intake,
increase hydration
renal calculi risk factors - Answer-males, genetics, metabolic defects, dehydration, urinary
stasis/retention, first occurrence before the age of 25
major components of renal calculi - Answer-calcium phosphate, calcium oxalate, uric acid, struvite, and
cystine
clinical manifestations of renal calculi - Answer-sudden/severe pain, nausea/vomiting, dysuria, fever,
and chills
lab tests for renal calculi - Answer-RBCs, WBCs, and bacteria = INCREASED
ABNORMAL LEVELS of calcium, phosphate, and uric acid
DECREASED pH indicates what type of calculi - Answer-uric acid, cystine stones
INCREASED pH indicates what type of calculi - Answer-calcium or struvite stones
, medications used for renal calculi - Answer-opioids (morphine), NSAIDs (Ketorolac), Spasmolytics
(oxybutynin), Antibiotics (getamicin and cephalexin), thiazide diuretics and allopurinol
what do you monitor for when a patient with renal calculi is on gentamicin? - Answer-nephrotoxicity
therapeutic procedures for renal calculi - Answer-extracorporeal shock wave lithotripsy (ESWL),
chemolysis, stenting, and open surgery
ureterolithotomy - Answer-incision into the ureter to remove a stone
pyeloithotomy - Answer-incision into the renal pelvis to remove a stone
nephrolithotomy - Answer-incision into a kidney to remove a stone
extracorporeal shock wave lithotripsy (ESWL) - Answer-breakdown of kidney stones using sound waves
generated outside the body
complications of renal calculi - Answer-urosepsis, obstruction, hydronephrosis
hydronephrosis - Answer-urine backs up and causes distention of the kidney(s)
complication of renal calculi obstruction - Answer-can predispose the client to hydroureter
hydroureter - Answer-the distention of the ureter due to back up of urine
renal calculi prevention - Answer-limit intake of animal protein, reduce calcium and sodium intake,
increase hydration
