The symptoms that the patient with renal colic will experience are due to the kidney stone passing through the ureter or in the kidney. The patient will experience severe pain on the back and sides just below the ribs. The pain will be radiating to the groin area and the lower abdomen. This pain will be in waves with fluctuating intensity. The patient will be experiencing pain on urination, brown urine, foul-smell urine, urinating more frequently in small amounts and have a persistent need to urinate (Daniels, Gross, Molinaro, Singh, Jessey & Moore, 2016).
How the Nurse will Manage Renal Colic
The nurse will offer the primary care to the patient with renal colic. The nurse should give the patient NSAIDs or morphine for acute pain control (Sterling, McDonald, Ziemba, Strother, Skokan & Mucksavage, 2017). Then the nurse should order full blood count and serum creatinine tests. The nurse should prescribe analgesic for the ongoing pain management and prescribe alpha-blockers to accelerate the passage of the stones.
Importance of Straining Urine
The purpose of straining the urine is to pass the urine via a fine mesh strainer or even a fine gauze to collect the kidney stones that will allow the nurse to confirm the diagnosis of renal colic.
Indwelling Catheters Increases the Risk of Urinary Tract Infections
Patients with indwelling urinary catheters have a higher risk for urinary tract infections since the catheters in the urethra inoculate organisms into the patients bladder hence promoting colonization as it offers the surface for bacterial adhesion which then causes mucosal irritation (Flores-Mireles, Walker, Caparon & Hultgren, 2015).
How to reduce UTI infections caused by Indwelling Catheters
The nurse can minimize the risk of UTIs caused by indwelling catheters by washing hands before and after catheter care to reduce passing the infections from one patient to another. The nurse should use catheters coated with silver alloy. The nurse can also give the patient antimicrobial drugs (Flores-Mireles et al. 2015).
Daniels, B., Gross, C. P., Molinaro, A., Singh, D., Luty, S., Jessey, R., & Moore, C. L. (2016). STONE PLUS: evaluation of emergency department patients with suspected renal colic, using a clinical prediction tool combined with point-of-care limited ultrasonography. Annals of emergency medicine, 67(4), 439-448.
Flores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2015). Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nature reviews. Microbiology, 13(5), 269.
Sterling, M., McDonald, M., Ziemba, J., Strother, M., Skokan, A., & Mucksavage, P. (2017). MP90-15 NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS) MAY IMPROVE 30-DAY READMISSION RATES TO THE ED FOR ACUTE EPISODES OF RENAL COLIC. The Journal of Urology, 197(4), e1216.
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