Renal Calculi for Certified Emergency Nursing (CEN)

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Study Tools For Renal Calculi for Certified Emergency Nursing (CEN)

Renal Calculi Pathochart (Cheatsheet)
Renal Calculi (Image)
Causes of Renal Calculi (Mnemonic)
Renal Calculi Interventions (Picmonic)
Renal Calculi Assessment (Picmonic)
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Outline

Renal Calculi

 

Definition/Etiology:

  • Renal calculi = hard stones made up of mineral and salt deposits that form in the renal system (AKA “kidney stones”)
  • 80% of stones are formed by calcium oxalate or calcium phosphate.
  • No definitive cause – reduce risk factors

Risk factors:

  • Personal/family history of kidney stones
  • UTIs
  • Low fluid intake
  • Hx of diabetes/obesity/gout/HTN

 

Pathophysiology:

  • Urine consists of several substances that are likely to form “crystals”
  • These substances include calcium, oxalate and uric acid.
  • If the pH is right and the environment is healthy, it will keep the substances from forming crystals that stick together and form stones. If the pH is altered or there is dehydration, we have a higher chance of those crystals forming and sticking together.

 

Clinical Presentation:

  • Restless!
  • Complaining of flank pain (usually one sided)
  • May have decreased urination
  • “wave-like” pain/ ebbs and flows
  • Often accompanied with nausea/vomiting
  • Pain or burning with urination

 

Collaborative Management:

Diagnostic tests:

  • CT scan
  • KUB
  • Urine sample – often find hematuria
  • Lab work….is your creat bumped? Is there infection?

Interventions:

  • Pain management! (Toradol is common)
  • Antiemetic
  • Rest in a position of comfort

 

Evaluation | Patient Monitoring | Education:

Eval size of the stone:

  • 4mm or less = passable
  • 4mm-6mm = iffy
  • 6mm or greater = lithotripsy likely
  • Urine Strainer/ keep any findings for analysis
  • Outpatient pain management/follow up

 

Linchpins: (Key Points)

  • Flank pain radiating to the groin
  • Fever and/or decreased urination = bad news.
  • Pain management is key

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

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Concepts Covered:

  • Documentation and Communication
  • Legal and Ethical Issues
  • Perioperative Nursing Roles
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Intraoperative Nursing
  • Microbiology
  • Communication
  • Fundamentals of Emergency Nursing
  • Preoperative Nursing
  • Basics of NCLEX
  • Medication Administration
  • Vascular Disorders
  • Upper GI Disorders
  • Urinary Disorders
  • Renal Disorders
  • Central Nervous System Disorders – Brain
  • Studying
  • Emergency Care of the Neurological Patient
  • Postpartum Complications
  • Liver & Gallbladder Disorders
  • Factors Influencing Community Health
  • Community Health Overview
  • Immunological Disorders
  • Integumentary Disorders
  • Male Reproductive Disorders
  • Pregnancy Risks
  • Prioritization
  • Childhood Growth and Development
  • Musculoskeletal Trauma
  • Terminology
  • Respiratory Disorders
  • Cognitive Disorders
  • Adulthood Growth and Development
  • EENT Disorders
  • Concepts of Population Health
  • Basic
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Tissues and Glands
  • Emergency Care of the Trauma Patient
  • Cardiovascular
  • Lower GI Disorders
  • Circulatory System

Study Plan Lessons

The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Atenolol (Tenormin) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Atrial Fibrillation (A Fib)
Interventional Radiology
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Renal Calculi for Certified Emergency Nursing (CEN)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Assessment
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Meds for Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Restraints
Sexual Assault and Battery for Certified Emergency Nursing (CEN)
Forensic Nurse
Antimicrobial Vaccinations
Hb (Hepatitis) Vaccine
Sucralfate (Carafate) Nursing Considerations
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Gastrointestinal (GI) Bleed Concept Map
Oral Medications
Intubation in the OR
Access to Care
Community Health Nursing Theories
Health Promotion Model
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
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Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Bed Bath
Nursing Care Plan for Testicular Torsion
Nursing Care and Pathophysiology for Testicular Torsion
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Protein (PROT) Lab Values
Magnesium Sulfate
Safety Checks
Legalities of Charting
Nursing Skills (Clinical) Safety Video
Prioritization
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Advance Directives
Mechanisms of Antimicrobial Agents
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Cefdinir (Omnicef) Nursing Considerations
Growth & Development – Infants
Nursing Care Plan for Amputation
Amputation
Amputation for Certified Emergency Nursing (CEN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Urinary Retention for Certified Emergency Nursing (CEN)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Radiation Safety for Nurses
Legal Considerations
Fall and Injury Prevention
Diagnostics Terminology
Procedural Terminology
Diagnostic Testing Course Introduction
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Needle Safety
Nursing Care Plan (NCP) for Incompetent Cervix
Incompetent Cervix
Pediatric Bronchiolitis Labs
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
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Nursing Care and Pathophysiology for Cholecystitis
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Dementia
Dementia and Alzheimers
Pain Management for the Older Adult – Live Tutoring Archive
Growth & Development – Late Adulthood
Geriatric: IV Insertion
Cataracts
Communicable Diseases
CPR-BLS (Basic Life Support)
Brief CPR (Cardiopulmonary Resuscitation) Overview
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
The Customer Voice
Patient Education
Advocating For Your Patient
IV Infusions (Solutions)
Tips & Advice for Pediatric IV
Tattoos IV Insertion
Trauma Survey
Head Trauma & Traumatic Brain Injury
Nursing Case Study for Head Injury
Myocardial Infarction Nursing Mnemonic (MONATAS)
Streptokinase (Streptase) Nursing Considerations
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
C. Difficile for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Urinary Tract Infection Case Study (45 min)
Phenazopyridine (Pyridium) Nursing Considerations
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Drawing Blood
Order of Lab Draws
Drawing Blood from the IV