a nurse is caring for a client who has a diagnosis of renal calculi This is a topic that many people are looking for. khurak.net is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, khurak.net would like to introduce to you Complete Care Plan for Renal Calculi (Nursing Care Plan). Following along are instructions in the video below:
Guys in this care plan. Were going to discuss the basics of providing care care to a patient who has a renal calculi. So specifically what were going look at is a description of this diagnosis.
Were gonna look at subjective and objective data and then your nursing interventions with rationales okay. So renal calculi are more commonly known as kidney stones. And these kidney stones.
Actually form when crystallized minerals like calcium or uric acid. And get builds up and they stick together in the urinary tract. Okay.
So when this happens. And this can cause a problem and create a blockage in the urinary tract. Okay.
Sometimes if theyre small enough these stones may pass through the urinary tract or again if theyre large they may get stuck and require surgical intervention. There are some important risk factors to be aware of for developing kidney stones. So the major one is going to be dehydration.
But you also want to think about things like infection diet and sometimes theyre just hereditary okay. So your desired outcomes for patients. Who have kidney stones are number one to try and promote normal voiding of urine and what we mean by normal is really that they experience as little pain as possible okay.
Um. And then we really need them to pass that kidney stone without experiencing traumatic injury okay. So lets take a look at the care plan.
So your subjective data for renal. Calculi.
Are first and foremost severe. Pain of back and side. You may hear this called flank pain.
Okay and then you may also have patients that complain of pain that radiates sort of from the lower abdomen into the groin. And nausea is common as well as pain with urination urinary frequency. And urinary urgency.
Your objective data here are hematuria so if you notice that there are any red blood cells in the urine cloudy foul smelling urine and fever if they have an infection okay so like we said kidney stones can cause severe severe pain. So its very important that we go ahead and get a baseline pain assessment. So that we can monitor for effectiveness of our treatment.
So to help us do that we need to assess for pain. And then go along with our interventions to relieve that now the top ways that we can help relieve pain are first and foremost to sort of help with positioning so to get the patient in positions that are comfortable. We need to then assist them with ambulation and offer any medications that may be helpful now one additional thing about pain.
Thats really really important is to pay attention to the location of the pain and the character of the pain. This can sometimes help us know if the stone is moving now when the pain is really severe. Its not uncommon for patients to also experience.
Nausea and vomiting. So we may need to treat that as well okay so next in your assessment. You want to be looking for signs and symptoms symptoms of infections.
So were assessing the patient and looking for things like malodorous urine fever chills and hematuria okay so next we need to be monitoring for dehydration. Okay. So remember that dehydration is one of our risk factors for developing renal calculi.
And it can make things a lot more complicated so we need to assess the patients hydration status. And make sure that were paying attention to things like their nausea and their vomiting.
Because that could make things worse as well okay next. If we know that dehydration is a problem. We want to hydrate the patient by encouraging intake of fluids.
Its going to help with some of their symptoms. And its also going to possibly help move that stone along so its very very important that we make sure the patients getting plenty of fluids now as we are increasing the patients fluid intake. Hopefully.
The patient is going to be going to the toilet. A lot more frequently and hopefully moving that stone along their urinary tract and hopefully out of the body. So its really important that during this process we monitor the urine output.
Very very closely first to see how much theyre having and then second. Were going to be looking for evidence of stones in the urine. So this means that every time the patient voids.
We need to be in there assessing that to see if there is any evidence stones have been passed so the patients gonna need a urinary hat in the toilet with something in there thats going to catch those stones. So that we can assess and see. If thats thats happening so in some cases diagnostic tests may need to be done to help us monitor kidney function and to assess the location of the stone.
The common test that youre gonna see are potentially serum vun and creatinine urinalysis. Hemoglobin and hematocrit and cbc a kub x. Ray.
Which is just looking at the abdomen. An ultrasound and possibly even a ct scan. Now theres a lot you could look into that.
But the main thing to be aware of with these diagnostic tests is to just know that with your bu in and creatinine. Youre gonna see those levels elevated in the serum and theyre gonna be decreased in the urine okay so for european and crowding.
Theyre gonna be elevated in the serum and decreased in the urine now if the patient isnt able to pass the stone on their own with their increased hydration. They may need actually to have surgery or a procedure of some kind to remove them so we definitely need to prepare them for this possibility. So your common procedures for this are an e sw l.
Which stands for extracorporeal shock wave. Lithotripsy and then you might have an f throw. Nefra lithotomy or a ureter osku p.
Okay. So those are kind of three things that you may see the e swl sends shockwaves through the kidneys to break up the stones and then the other two procedures are actually surgical to go in and remove them so the thing with the this procedure here is that the patients still gonna have to pass those stones that have been broken up whereas with the two surgical procedures. Theyre gonna go ahead and remove them okay once we get those stones out and the patients not having those problems anymore.
Its important to educate them on their diet to help prevent the future development of stones. So were going to provide some nutritional education and the types of foods. They need to avoid may may vary based on the type of stone that they have so you can get calcium stones your jones sistine stones or oxalate stones.
But the main dietary items that come into play with the stones are having too much protein. Too much sodium. Too many purines in the diet and too much oxalate in the diet.
So you want to think about educating them on those different elements. So foods. That are high in oxalate are things.
Like strawberries spinach chocolate tea peanuts things like that things that are high in purines are organ meats. Its probably the most common one so those are the kinds of things you want to make sure that patients are aware of thanks for watching another nursing comm lesson click the link below in the description to watch thousands more lessons over on nursing comm. Also be sure to hit the subscribe and the little bell to make sure youre reminded.
When new lessons come out and if you want to just keep watching more lessons go ahead and click this video over here to continue learning like we always say here at nursing calm happy nursing music. .
Thank you for watching all the articles on the topic Complete Care Plan for Renal Calculi (Nursing Care Plan). All shares of khurak.net are very good. We hope you are satisfied with the article. For any questions, please leave a comment below. Hopefully you guys support our website even more.