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Renal Colic: Prepared By: Regine Anne B. Panganiban

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RENAL COLIC

Prepared by:
Regine Anne B. Panganiban
KIDNEYS
aretwo bean-shaped organs in the
renal system. They help the body pass
waste as urine. They also help filter
blood before sending it back to the
heart.
maintaining overall fluid balance
regulating and filtering minerals from
blood
creating hormones that help
produce red blood cells,
promote bone health, and
regulate blood pressure
WHAT IS RENAL
COLIC?
It is severe flank pain or sides
and often radiates below the
ribs and groin.
 is a type of pain you get when
urinary stones block part of
your urinary tract.
TYPES OF STONES
 CALCIUM OXALATE
Most common

 STRUVITE
More common in woman than man

Common result of UTI

 URIC ACID
Caused by HIGH PROTEIN DIET and

GOUT
 CYSTINE
Uncommon, hereditary
RISK FACTORS
Diet high in oxalate or protein
Family history
Dehydration
Obesity
UTI
GI diseases eg. Crohn’s disease or
Ulcerative colitis
SIGNS AND SYMPTOMS
 Severe low back, abdominal, or groin
pain
 Nausea and vomiting
 Oliguria, and Anuria
 Dysuria
 Hematuria
 Fever
PATHOPHYSIOLOGY
Slow urine flow

Super saturation of urine

Crystallization

KIDNEY
STONES
DIAGNOSTIC TESTS:
 BUN/CREATININE

 URINALYSIS: Dark yellow


Brown
Bloody.

 Hgb/Hct (CBC) may be abnormal if dehydration is


an issue

 KUB X-RAY, ULTRASOUND and CT SCAN 


presence of and location of calculi as well as other
masses or abnormalities.
NURSING
INTERVENTION
1. Assess for and manage pain
Administer medications for pain relief:
NSAIDS eg. Diclofenac Sodium, or
Ibuprofen
ANTISPASMODIC eg. Hyoscine
OPIODS eg. Pethedine
Assist in positioning patient for comfort
Assist with ambulation for pain relief 
2. Assess for signs/symptoms of
infection
Eg. fever / chills, oliguria, hematuria
Administer antibiotics as necessary
4. Increase fluid intake.
5. Monitor urine output for
evidence of stones
6.Prepare patient for and assist
with procedures for removing
or managing renal stones
Extracorporeal shock wave
lithotripsy (ESWL)
• Percutaneous
 

nephrolithotomy
• Ureteroscopy
7. Monitor for dehydration
 Dry mucous membranes
 Skin turgor

8. Dietary Modification:
 Calcium stones:   protein, sodium
 Uric stones:   purine, protein
 Cystine stones:   protein diet
 Oxalate stones:  oxalate (found in
strawberries, spinach, chocolate, tea,
peanuts and wheat bran)
THANK YOU!

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