Question

Case study Lee Hong is a 38-year-old owner of a small restaurant. He lives with his wife and their two Mr children. One day while at work, Mr Hong collapsed with severe pain around his kidney region. His wife, who was at work with him, called for an ambulance and Mr Hong was rushed to the local hospital. On arrival at the A&E department, Mr Hong was still in a lot of pain and asked the student nurse for a urinal to pass some urine. He passed approximately 100 mL of urine and gave it to the student nurse. The student nurse observed that Mr Hong had blood in his urine. Mr Hong was examined by the duty doctor and a provisional diagnosis of renal colic was made. Vital signs On admission to the A&E department the following vital signs were noted and recorded: Vital sign Temperature Pulse: Respiration: Blood pressure: 0, saturation: Observation 363°C 102 beats per minute 22 breaths per minute 92/60 mmHg 99% Normal 36.1-38.0°C range 51-90 beats per minute 12-20 breaths per minute 111-219 mmHg (systolic) range 296 %

Answer 1

MEDICTIONS and ROLE:::::1)opioids -such as morphine or meperidine can be used intravenously to reduce pain

2)in fluids to correct dehydration and also ease the passage of stone through urine.

3)NSAID :if pain is not controlled by morphine this is recommended.

4) anti emetics:Mto reduce vomiting .METOCHLOPRAMIDE is the drug of choice to treat vomiting associated with renal colic.ondansterin,promethazine and hydroxyzine also can be used commonly.

5)anti-diuretics-it also can reduce the pain by increasing the output of urine.

6)antibiotics-to treat UTI for patient with kidney stone.

HYDRATION , DIET and advice to prevent recurrence of stone :::a1)alot of fluid should drink by patient to prevent all types of kidney stones.because,this will assist the patient to dilate urine.This will prevent stone formation.2)Tell the patient to drink ginger ale,lemon-lime soda and fruit juices.3)patient should drink atleast 3lit/day water.limit the intake of coffee,tea and cola.4)tell him to reduce the intake of salt,tomatoes ,canned food and red meat.5)advice him to have more citrate content food such as lemon,orange.5)reduce the protein intake.6)take low -fat diet.7)do not take extra calcium or vit.D8)avoid alcohol,cauliflower,mushroom,oils,organ meat,spinach,etc.8)tell him to have enough carbohydrates contain food..

mid the patient follow these instructions his present condition can get cure and there will no be any problem in near by future.