what is Renal Calculi
Kidney Stones
What is this
is a treatment for kidney failure that removes waste, toxins, and extra fluid from your body using the lining of your belly (peritoneum) as a natural filter instead of a machine.
When is this started
when manifestations of uremia become severe.
Meds That cause AKI
Aminoglycosides (antibiotics)
NSAIDs
ACE inhibitors
Contrast dye
Antiviral meds (acyclovir & HIV meds)
AKD Labs
Alb: Normal
BUN: ↑
Cr: ↑
GFR: ↓
Assessment Findings (S/Sx)
Reports of enlarge abdomen
Low back/abd/flank pain
Dysuria (pain upon voiding)
Fever/chills
Hematuria
Cloudy/foul smelling urine
Upset GI
Pt education for at home use
l teach the client how to maintain home dialysis records, such as blood pressure and daily weight, and how to use aseptic technique when performing catheter care or exchanges
What type of fluid restrictions
Limit fluids
Monitor weight daily
Manage thirst
What antibiotic is a major nephrotoxic med if given in high doses for prolong period of time?
Vancomycin
Chronic Kidney Disease (CKD) Labs
Alb: ↓
BUN: ↑
Cr: ↑
GFR: ↓
what typical wheather conditions may be a factor
Studies have shown that the warmer the climate, the higher the risk for developing renal stones
Main complication of this
Hypotension
What type of Dietary Restrictions
Limit sodium, restrict potassium rich foods, monitor phosphorus intake
Increase protein
pt is given sodium polystyrene for hyperkalemia, what do you monitor for
hypokalemia
Meds Causing AKD
Aminoglycosides (antibiotics)
NSAIDs
ACE inhibitors
Contrast dye
Antiviral meds (acyclovir & HIV meds)
education for a pt taking Nifedipine (Procardia) for Renal Calculi
Avoid Grapefruit juice
What type of Lifestyle Adjustments
Travel restrictions
Work limitations
Exercise moderately
Mental health support
pt education for Prednisone
Avoid vaccines
Avoid sun
Take with food
- Avoid OTC pain meds
(Used to decrease inflammation)
What safety considerations for a patient with CKD
Adequate fluids
Avoid nephrotoxic meds
Monitor BP regularly
↓ Na
↓ high-intensity workouts
Avoid protein overload
Avoid NSAIDs
Prompt response to hypervolemia
How to prevent (Diet)
Increase fluids
DASH diet
How does it work
shunts blood from the body through a dialyzer and back into circulation .
Cyclophosphamide and what affects does it cause on the bladder, and education when taking med
Cyclophosphamide can burn or irritate the bladder because of a toxic chemical it releases.
The nurse should instruct the client to take the oral medication early in the morning and drink an adequate amount of fluids for at least 72 hr after therapy is completed. The client needs to be instructed to urinate often and to report any blood in the urine to their health care provider.