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/ )
- Urinalysis: No blood on a urinalysis does NOT rule out a kidney stone.
- Check creatinine
- Get the Ultrasound first. If it is negative, and you still need to identify the stone get a Non-contrast CT scan. (http://www.pemcincinnati.com/blog/kidney-stones-03-imaging/ )
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