Stones: Evaluation and Medical Management: Difference between revisions
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**** Abdomen | **** Abdomen | ||
**** Costovertebral angle tenderness | **** Costovertebral angle tenderness | ||
*Renal colic pain management[https://smhs.gwu.edu/urgentmatters/content/alternatives-opioids-pain-management-ed] | *Management | ||
** Toradol 30 mg IV | **Renal colic pain management[https://smhs.gwu.edu/urgentmatters/content/alternatives-opioids-pain-management-ed] | ||
** Cardiac Lidocaine 1.5 mg/kg IV in 100 mL NS over 10 minutes (MAX 200 mg) | *** Toradol 30 mg IV | ||
** Acetaminophen 1000 mg PO | *** Cardiac Lidocaine 1.5 mg/kg IV in 100 mL NS over 10 minutes (MAX 200 mg) | ||
** 1 L 0.9% NS bolus | *** Acetaminophen 1000 mg PO | ||
*** 1 L 0.9% NS bolus | |||
**'''If obstructing stones with suspected infection, must urgently drain the collecting system with a stent or nephrostomy tube and delay stone treatment[https://pubmed.ncbi.nlm.nih.gov/27238616/ <span style="color:#ff0000">★</span>]'''***Definitive management of the stone should not be undertaken until sepsis has resolved and the infection has been treated with an appropriate course of antibiotic therapy. | |||
== Diagnosis and Evaluation of Metabolic Stone Disease == | == Diagnosis and Evaluation of Metabolic Stone Disease == | ||