Kidney Stones (Renal Calculi)

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Rx: (http://www.pemcincinnati.com/bl…/kidney-stones-04-treatment/ )

  • For pain: NSAIDs (avoid in kidney disease) then Opiates
  • Antiemetics: If the patient is nauseous and vomiting
  • Fluids: You do NOT need to give fluids if your patient is not dehydrated

Ix: (http://www.pemcincinnati.com/blog/kidney-stones-02-labs/ )

Admit if: (http://www.pemcincinnati.com/bl…/kidney-stones-04-treatment/ )

  • Needing lots of IV pain meds
  • Can’t tolerate oral fluids
  • Large stone >>10mm and urology is considering intervention. 90% of patients will pass stones regardless of size.
  • UTI + stone and ill appearing

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