Question

Mollie Stone a 22 year old female client presents to the emergency department with colicky pain in her flanks she is doubled over with the pain stating that the pain is worse than when she gave birth to her son last year she stated that she has bloody urine but is not on her. The vital signs are temperature 99 blood pressure 140 over 90 heart rate 90 beats a minute respirations 22 breaths per minute pain is 9 out of 10 colicky intermittent pain in her flanks bilaterally a urinalysis is positive for red blood cells a renal profile was sent to the lab The physician ordered a KUB and ivp 400 renal calculi strain all urine for renal calculi the client as you the LPN the following questions question 1 what is the purpose of a KUB what is an ivp and what is the purpose number to the client states I am very concerned about my blood pressure why is it so high question 3 what can I have for pain

Answer 1

1.Purpose of a KUB(Kidney, Ureters, Bladder)

*Quick, inexpensive and helpful imaging study for the confirmation of urinary stones or renal calculi.

*Helps to compare and track the progress of the calculi.

2.IVP (Intravenous Pyelogram)

This test is usually considered when an obstructing renal calculus is suspected or when kidney function is about to be compromised. During an IVP, a harmless dye is injected into the vein. Excretion of the dye into the urine by kidney is identified by the x_rays of the abdomen region.

Since kidneys plays a major role in blood pressure. Diseased kidneys are less able to regulate blood pressure. As a result, those patients may have increased blood pressure. That's why she is concerned about blood pressure. It could controlled only by hypertensive medications.

3. Large stones lodged in the ureter and block the urine flow, and thus causes the sharp colicky pain in backside.

Management of pain

*Main relievers like ibuprofen is used for mild conditions.

*IV narcotics and IV anti_inflammatory can be used for severe pain.