Kidney
Kidney
 Located in the right and left side of the abdomen
Located in the right and left side of the abdomen
 Filters chemicals and unneeded water out of the blood
Filters chemicals and unneeded water out of the blood
 regulate acid concentration and maintain water balance in the
regulate acid concentration and maintain water balance in the
body by excreting urine.
body by excreting urine.
 component involved with the Urinary Track
component involved with the Urinary Track
Kidney Stone Disease
Kidney Stone Disease
Overview
Overview
•The urine Drains to the bladder through the Ureter
•Small Stone in kidney
•Kidney Stone- smaller than a grain of sand, can grow up to a
Quarter Inch or Longer
•Can block the urine in the Urethra
•Causing pressure
Causes
Causes

Heredity
Heredity

Geographical Location
Geographical Location

Diet- increased amounts of chemicals like salt or
Diet- increased amounts of chemicals like salt or
lack of water
lack of water

OTC Products
OTC Products
Symptons
Symptons

Intense pain- back area
Intense pain- back area

Sweating
Sweating

Vomiting
Vomiting

Nausea
Nausea

Sometimes blood in the urine
Sometimes blood in the urine
Medical
Medical
management
management

Immediate health care needed
Immediate health care needed

Tests to prove diagnosis
Tests to prove diagnosis

Physical examination
Physical examination

#1 Prevention- Good Hydration
#1 Prevention- Good Hydration

History of having kidney stones-may consider
History of having kidney stones-may consider
home therapy
home therapy
Kidney Stone
Kidney Stone
Treatment
Treatment
• Hydration
Hydration
• Pain- Ketorolac (Toradol), just makes pain
Pain- Ketorolac (Toradol), just makes pain
tolerable not free of it
tolerable not free of it
• If nausea and vomiting are present, antiemetic
If nausea and vomiting are present, antiemetic
medication
medication
• Home treatment- ibuprofen
Home treatment- ibuprofen
• Tamsulosin (Flomax, a drug used to ease
Tamsulosin (Flomax, a drug used to ease
urination in men with enlargement of the
urination in men with enlargement of the
prostate) help with passage of stones.
prostate) help with passage of stones.
Cystoscopy
Cystoscopy

Cystoscopy- if the stone is in a place
Cystoscopy- if the stone is in a place
of infection this procedure can be
of infection this procedure can be
perfomed
perfomed

A stent (thin tube) is passed through
A stent (thin tube) is passed through
the urethra into the ureter to get
the urethra into the ureter to get
around the obstructing stone.
around the obstructing stone.

Left in place for a longer time period
Left in place for a longer time period

Doctor may pull stone out with tool
Doctor may pull stone out with tool
ESWL
ESWL

Most common medical treatment
Most common medical treatment

Extracorporeal Shock Wave
Extracorporeal Shock Wave
Lithotripsy (ESWL).
Lithotripsy (ESWL).

Uses shock waves to crack a kidney
Uses shock waves to crack a kidney
stone into small pieces.
stone into small pieces.

Pass through urine or doctor will
Pass through urine or doctor will
need to remove stone
need to remove stone
Follow Up
Follow Up

Strain Urine to catch stone
Strain Urine to catch stone

Send in for Analysis
Send in for Analysis

Once again drink plenty of water
Once again drink plenty of water

Follow up visit- 1-2 weeks after
Follow up visit- 1-2 weeks after
original visit with Urologist
original visit with Urologist
Prevention
Prevention

Hydrate
Hydrate

Making sure the urine is dilute
Making sure the urine is dilute

Taking medication prescribed
Taking medication prescribed
Outlook
Outlook
• Having stones once is risk factor for
Having stones once is risk factor for
having them again in the future
having them again in the future
• May be hereditary- passed on to the
May be hereditary- passed on to the
next generation
next generation
• Patient will never forget the
Patient will never forget the
experience- likely will diagnose self
experience- likely will diagnose self
it later through memories
it later through memories
Sources
Sources

#1- Book- Mind and Body
#1- Book- Mind and Body
Author- Linda Fox
Author- Linda Fox

#2- http://www.webmd.com/kidney-stones/kidney-stones-
#2- http://www.webmd.com/kidney-stones/kidney-stones-
topic-overview
topic-overview

power point presentation on management of RC

  • 2.
    Kidney Kidney  Located inthe right and left side of the abdomen Located in the right and left side of the abdomen  Filters chemicals and unneeded water out of the blood Filters chemicals and unneeded water out of the blood  regulate acid concentration and maintain water balance in the regulate acid concentration and maintain water balance in the body by excreting urine. body by excreting urine.  component involved with the Urinary Track component involved with the Urinary Track
  • 3.
    Kidney Stone Disease KidneyStone Disease Overview Overview •The urine Drains to the bladder through the Ureter •Small Stone in kidney •Kidney Stone- smaller than a grain of sand, can grow up to a Quarter Inch or Longer •Can block the urine in the Urethra •Causing pressure
  • 4.
    Causes Causes  Heredity Heredity  Geographical Location Geographical Location  Diet-increased amounts of chemicals like salt or Diet- increased amounts of chemicals like salt or lack of water lack of water  OTC Products OTC Products
  • 5.
    Symptons Symptons  Intense pain- backarea Intense pain- back area  Sweating Sweating  Vomiting Vomiting  Nausea Nausea  Sometimes blood in the urine Sometimes blood in the urine
  • 6.
    Medical Medical management management  Immediate health careneeded Immediate health care needed  Tests to prove diagnosis Tests to prove diagnosis  Physical examination Physical examination  #1 Prevention- Good Hydration #1 Prevention- Good Hydration  History of having kidney stones-may consider History of having kidney stones-may consider home therapy home therapy
  • 7.
    Kidney Stone Kidney Stone Treatment Treatment •Hydration Hydration • Pain- Ketorolac (Toradol), just makes pain Pain- Ketorolac (Toradol), just makes pain tolerable not free of it tolerable not free of it • If nausea and vomiting are present, antiemetic If nausea and vomiting are present, antiemetic medication medication • Home treatment- ibuprofen Home treatment- ibuprofen • Tamsulosin (Flomax, a drug used to ease Tamsulosin (Flomax, a drug used to ease urination in men with enlargement of the urination in men with enlargement of the prostate) help with passage of stones. prostate) help with passage of stones.
  • 8.
    Cystoscopy Cystoscopy  Cystoscopy- if thestone is in a place Cystoscopy- if the stone is in a place of infection this procedure can be of infection this procedure can be perfomed perfomed  A stent (thin tube) is passed through A stent (thin tube) is passed through the urethra into the ureter to get the urethra into the ureter to get around the obstructing stone. around the obstructing stone.  Left in place for a longer time period Left in place for a longer time period  Doctor may pull stone out with tool Doctor may pull stone out with tool
  • 9.
    ESWL ESWL  Most common medicaltreatment Most common medical treatment  Extracorporeal Shock Wave Extracorporeal Shock Wave Lithotripsy (ESWL). Lithotripsy (ESWL).  Uses shock waves to crack a kidney Uses shock waves to crack a kidney stone into small pieces. stone into small pieces.  Pass through urine or doctor will Pass through urine or doctor will need to remove stone need to remove stone
  • 10.
    Follow Up Follow Up  StrainUrine to catch stone Strain Urine to catch stone  Send in for Analysis Send in for Analysis  Once again drink plenty of water Once again drink plenty of water  Follow up visit- 1-2 weeks after Follow up visit- 1-2 weeks after original visit with Urologist original visit with Urologist
  • 11.
    Prevention Prevention  Hydrate Hydrate  Making sure theurine is dilute Making sure the urine is dilute  Taking medication prescribed Taking medication prescribed
  • 12.
    Outlook Outlook • Having stonesonce is risk factor for Having stones once is risk factor for having them again in the future having them again in the future • May be hereditary- passed on to the May be hereditary- passed on to the next generation next generation • Patient will never forget the Patient will never forget the experience- likely will diagnose self experience- likely will diagnose self it later through memories it later through memories
  • 13.
    Sources Sources  #1- Book- Mindand Body #1- Book- Mind and Body Author- Linda Fox Author- Linda Fox  #2- http://www.webmd.com/kidney-stones/kidney-stones- #2- http://www.webmd.com/kidney-stones/kidney-stones- topic-overview topic-overview