Renal Calculi for Certified Emergency Nursing (CEN)
You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz
Included In This Lesson
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)
NURSING.com students have a 99.25% NCLEX pass rate.
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
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
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:
- Mayo Foundation for Medical Education and Research. (2022, June 3). Kidney stones. Mayo Clinic. Retrieved October 13, 2022, from https://www.mayoclinic.org/diseases-conditions/kidney-stones/symptoms-causes/syc-20355755
- Nojaba, L., & Guzman, N. (2021). Nephrolithiasis. In StatPearls [Internet]. StatPearls Publishing.
Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
🎉 Special Offer 🎉
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
Adult 2 Final
Concepts Covered:
- Immunological Disorders
- Liver & Gallbladder Disorders
- Upper GI Disorders
- Neurological Emergencies
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Brain
- Peripheral Nervous System Disorders
- Central Nervous System Disorders – Spinal Cord
- Infectious Respiratory Disorder
- Respiratory Disorders
- Noninfectious Respiratory Disorder
- Oncology Disorders
- Hematologic Disorders
- Oncologic Disorders
- Cardiac Disorders
- Acute & Chronic Renal Disorders
- Renal Disorders
- Urinary Disorders
- Vascular Disorders
- Emergency Care of the Cardiac Patient
- Pregnancy Risks
Study Plan Lessons
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Nursing Case Study for Rheumatoid Arthritis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
AIDS Case Study (45 min)
Hepatitis for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care Plan (NCP) for Hepatitis
Nursing Case Study for Hepatitis
Causes of Pancreatitis Nursing Mnemonic (BAD HITS)
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care Plan (NCP) for Cholecystitis
Cirrhosis Case Study (45 min)
Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care and Pathophysiology for Pancreatitis
Cholecystitis for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care Plan (NCP) for Stroke (CVA)
Stroke (CVA) Management in the ER
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke for Certified Emergency Nursing (CEN)
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Nursing Care and Pathophysiology for Seizure
Nursing Care Plan (NCP) for Seizures
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Management in the ER
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Miscellaneous Nerve Disorders
Neuro Disorders Module Intro
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care Plan (NCP) for Tuberculosis
Tuberculosis (TB) Case Study (60 min)
Tuberculosis for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology of Pneumonia
Nursing Care Plan (NCP) for Pneumonia
Nursing Case Study for Pneumonia
Pneumonia
Pneumonia Concept Map
Pneumonia Labs
Asthma
Asthma Concept Map
Asthma for Certified Emergency Nursing (CEN)
Corticosteroids
Albuterol (Ventolin) Nursing Considerations
Nursing Care and Pathophysiology for Asthma
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
COPD Concept Map
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Chemotherapy Patients
Hematology/Oncology/Immunology Course Introduction
Colorectal Cancer (colon rectal cancer)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Prostate Cancer
Prostate Cancer
Breast Cancer
Breast Cancer Concept Map
Nursing Care Plan (NCP) for Breast Cancer
Nursing Case Study for Breast Cancer
Lung Cancer
Nursing Care Plan (NCP) for Lung Cancer
Cervical Cancer
Nursing Care Plan (NCP) for Cervical Cancer
Leukemia
Leukemia
Leukemia Case Study (60 min)
Nursing Care Plan (NCP) for Leukemia
Lymphoma
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Multiple Myeloma
Cardiovascular Disorders (CVD) Module Intro
Acute Kidney Injury Case Study (60 min)
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Case Study for Acute Kidney Injury
Renal Failure for Certified Emergency Nursing (CEN)
Chronic Kidney Disease (CKD) Case Study (45 min)
Chronic Renal (Kidney) Module Intro
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Chronic Kidney Disease
Hemodialysis (Renal Dialysis)
Peritoneal Dialysis (PD)
Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care Plan (NCP) for Renal Calculi
Renal Calculi for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care Plan (NCP) for Aortic Aneurysm
Congestive Heart Failure Concept Map
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Angina
Nursing Care Plan (NCP) for Angina
Hypertension (HTN) Concept Map
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension for Certified Emergency Nursing (CEN)
Hypertensive Crisis Case Study (45 min)
Hypertensive Emergency
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care Plan (NCP) for Hypertension (HTN)
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care Plan (NCP) for Arterial Disorders