What important nursing procedures must a assistant carry out following removal of renal calculi?
1. Pain Management:
Monitor the patient's pain level regularly and administer prescribed analgesics to relieve pain and discomfort.
2. Fluid Intake and Output:
Ensure adequate fluid intake to maintain urine output. Monitor the patient's fluid intake and urine output hourly. Encourage oral fluids unless contraindicated.
3. Diet:
Provide a diet as prescribed. Generally, a low-sodium, high-fluid diet is recommended.
4. Rest and Activity:
Allow the patient to rest comfortably in a semi-Fowler's position. Encourage early ambulation to prevent complications such as deep vein thrombosis (DVT) and pneumonia.
5. Wound Care:
If the procedure involved an incision, assess the surgical site for signs of infection, bleeding, or drainage. Perform dressing changes as needed.
6. Monitor Vital Signs:
Regularly monitor the patient's vital signs, including blood pressure, heart rate, respiratory rate, and temperature.
7. Laboratory Tests:
Monitor laboratory test results, such as electrolytes, creatinine, and blood urea nitrogen (BUN) to assess the patient's kidney function.
8. Patient Education:
Provide patient education about the importance of maintaining adequate fluid intake, following dietary recommendations, and monitoring for any signs of infection or complications.
9. Follow-up Care:
Schedule follow-up appointments with the healthcare provider as directed to monitor the patient's progress and assess their recovery.
By diligently carrying out these nursing procedures, the assistant can help ensure the patient's safety and promote their recovery after the removal of renal calculi.