Maya Popbozhikova Case Study: Management of Patients with Urinary Disorders Objective: 6 John Lyons has undergone treatment

for renal stones three times in the last year. Today he calls this primary healthcare provider with complaints of acute, excruciating, colicky, pain that radiates down the thigh toward the genitalia. The pain started last night, and has become progressively more severe. He also complains of the urge to void but has little urine output, and it is blood tinged. Due to the pain, he has not taken any fluids or food in 24 hours. Mr. Lyons undergoes lithotripsy, and analysis of stone fragments to reveal calcium stones.

Mr. Lyons symptoms are most indicative of stones in what area of the renal system? Mr. Lyons symptoms are most indicative of stones that are in the ureter Mr. Lyons has the following orders: Morphine sulfate 2 mg IVP every 2 hours as needed for severe pain - Used for the acute onset of stones within the first 24 hr. Opioid agents are used to treat moderate to severe pain Ibuprofen 600 mg every 6 hours - Used to treat mild to moderate pain, fever, and inflammation Normal saline at 200 cc/hr Fluids are given to prevent dehydration and promote the passage of the stones What are the rationales for the above orders? Based upon the calcium composition of the stone, what dietary teaching should the nurse include in Mr. Lyons plan of care? Diet includes acid-ash foods, because calcium stones are alkaline. Breads, cereals, whole grains Cheese, eggs Corn and legumes Cranberries, prunes, plumps, tomatoes Meat, fish, oysters, poultry