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 It refe rs formation of stones in the urinary tract when
urinary concentrations of substances such as calcium
oxalate, calcium phosphate, uric acid increase.
- BRUNNER AND SUDDARTH’S-
 Renal calculi are hard, generally small stones that from
somewhere in the renal structures.
-WILLIAMS,HOPPER-
Due to etiological factors
↓
Alters the renal flow and metabolism
↓
Increases the concentration in the blood and urine
↓
Increases the viscosity of the blood
↓
Mucoproteins formation in the kidney
↓
Kidney is unable to detoxify the urine
↓
Increases the urine concentration
↓
Stone formation in the kidney
↓
Signs and symptoms occur.
 Stone block the flow of urine:
- Pyelonephritis and U.T.I
-Chills, fever.
- Pain, discomfort.
 Stone in the renal pelvis:
- Hematuria.
- Pyuria.
- Pain.
- Nausea and vomiting.
- Diarrhea.
 Stone lodged in the ureter.
-Acute coliky wave like pain radiating down the
thigh and to the genitalia.
- Hematuria.
 Stones lodged in the bladder:
- Irritation.
- Hematuria.
- Urinary retention.
-Urosepsis.
Goals:
 To eradicate the stone.
 Determine the stone type.
 Prevent nephron distruction.
 Control infection.
 To relieve any obstruction.
 Relieve the pain
Management of calcium stones:
 Restrict calcium in diet.
 Increase hydration.
Uric acid stones:
 Provide low purine diet.
 Use of ALLOPURINOL
Cystine stones:
 Low protein diet.
 Fluid intake is increased.
Oxalate stones:
 Low intake of oxalate foods.
Extracorporeal Shockwave Lithotripsy (ESWL)
 Percutaneous Nephrolithotomy (PNL)
* Relieving pain
 Administer analgesics
 Providence of comfort position.
*Preventing complications.
 Increasing fluid intake.
 Encouraged ambulation.
 Monitor vital signs.
 Administer the antibiotics.
* Promoting home care.
 About diet
 Decreased function in effected kidney.
 Kidney damage.
 Recurrence of stones.
 Urinary tract infection.
THANK
YOU

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Renal calculi

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.  It refe rs formation of stones in the urinary tract when urinary concentrations of substances such as calcium oxalate, calcium phosphate, uric acid increase. - BRUNNER AND SUDDARTH’S-  Renal calculi are hard, generally small stones that from somewhere in the renal structures. -WILLIAMS,HOPPER-
  • 7.
  • 8. Due to etiological factors ↓ Alters the renal flow and metabolism ↓ Increases the concentration in the blood and urine ↓ Increases the viscosity of the blood ↓
  • 9. Mucoproteins formation in the kidney ↓ Kidney is unable to detoxify the urine ↓ Increases the urine concentration ↓ Stone formation in the kidney ↓ Signs and symptoms occur.
  • 10.  Stone block the flow of urine: - Pyelonephritis and U.T.I -Chills, fever. - Pain, discomfort.  Stone in the renal pelvis: - Hematuria. - Pyuria. - Pain. - Nausea and vomiting. - Diarrhea.
  • 11.  Stone lodged in the ureter. -Acute coliky wave like pain radiating down the thigh and to the genitalia. - Hematuria.  Stones lodged in the bladder: - Irritation. - Hematuria. - Urinary retention. -Urosepsis.
  • 12.
  • 13.
  • 14. Goals:  To eradicate the stone.  Determine the stone type.  Prevent nephron distruction.  Control infection.  To relieve any obstruction.  Relieve the pain
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. Management of calcium stones:  Restrict calcium in diet.  Increase hydration. Uric acid stones:  Provide low purine diet.  Use of ALLOPURINOL
  • 20. Cystine stones:  Low protein diet.  Fluid intake is increased. Oxalate stones:  Low intake of oxalate foods.
  • 22.
  • 23.
  • 25.
  • 26.
  • 27. * Relieving pain  Administer analgesics  Providence of comfort position. *Preventing complications.  Increasing fluid intake.  Encouraged ambulation.  Monitor vital signs.  Administer the antibiotics. * Promoting home care.  About diet
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.  Decreased function in effected kidney.  Kidney damage.  Recurrence of stones.  Urinary tract infection.