Medical Surgical Nursing

• Stones


• Congenital structural defects


• Fibrosis


• Treatment with radiation in pelvis

Complication of Obstruction

• If untreated, permanent damage can occur within 48 hours


• Renal failure
  
  
  • Retention of
    
    
    • Nitrogenous wastes (urea, creatinine, uric acid)
    
    
    • Electrolytes (K, Na, Cl, and Phosphorus)
    
    
    • Acid base balance impaired
    
    
    
    
  
  
  
  

Renal Calculi

• Called nephrolithiasis or urolithiasis


• Most commonly develop in the renal pelvis but can be anywhere in the urinary tract


• Vary in size –from very large to tiny


• Can be 1 stone or many stones