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LithotripsyLithotripsy
Kidney stones originate as a small grain in the kidney or upper urinaryKidney stones originate as a...
KidneysKidneys
What is lithotripsy?What is lithotripsy?
 Lithotripsy is a Greek word meaning "stoneLithotripsy is a Greek word meaning "...
Who should not have lithotripsy?Who should not have lithotripsy?
 Almost everyone canAlmost everyone can
have lithotripsy...
What are the advantages andWhat are the advantages and
disadvantages of lithotripsy?disadvantages of lithotripsy?
 The ad...
During LithotripsyDuring Lithotripsy
 Sometimes the doctor will prescribe a sedativeSometimes the doctor will prescribe a...
ActivityActivity
 You are the nurse inYou are the nurse in
charge of out-charge of out-
patients.patients.
 Prepare a le...
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Lithotripsy

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Lithotripsy

  1. 1. LithotripsyLithotripsy Kidney stones originate as a small grain in the kidney or upper urinaryKidney stones originate as a small grain in the kidney or upper urinary tract and gradually grow larger as compounds in the urine chemicallytract and gradually grow larger as compounds in the urine chemically attach to the stone. Though most stones are fairly small, some canattach to the stone. Though most stones are fairly small, some can grow to more than an inch in diameter.grow to more than an inch in diameter. Statistics show that kidney stone disease can affect as much as two toStatistics show that kidney stone disease can affect as much as two to three percent of the adult population. Nevertheless, what causes kidneythree percent of the adult population. Nevertheless, what causes kidney stone formation is not clearly understood.stone formation is not clearly understood. In the past, surgery or drug therapies were the treatments for kidneyIn the past, surgery or drug therapies were the treatments for kidney stones. Today urologists can offer alternatives such as lithotripsy.stones. Today urologists can offer alternatives such as lithotripsy.
  2. 2. KidneysKidneys
  3. 3. What is lithotripsy?What is lithotripsy?  Lithotripsy is a Greek word meaning "stoneLithotripsy is a Greek word meaning "stone crusher" which precisely describes the technique.crusher" which precisely describes the technique. Externally generated shock waves harmlesslyExternally generated shock waves harmlessly penetrate body tissues, but provide enoughpenetrate body tissues, but provide enough pressure on a kidney stone to disintegrate it intopressure on a kidney stone to disintegrate it into smaller granules. These granules are small enoughsmaller granules. These granules are small enough to be passed with urine.to be passed with urine.
  4. 4. Who should not have lithotripsy?Who should not have lithotripsy?  Almost everyone canAlmost everyone can have lithotripsy. However,have lithotripsy. However, there are a fewthere are a few exceptions:exceptions:  People who weigh morePeople who weigh more than 300 poundsthan 300 pounds  Are pregnantAre pregnant  Have bleeding problemsHave bleeding problems  Have non-workingHave non-working kidneyskidneys  Have pacemakersHave pacemakers  People who cannot havePeople who cannot have anaesthesia or x-rays.anaesthesia or x-rays.
  5. 5. What are the advantages andWhat are the advantages and disadvantages of lithotripsy?disadvantages of lithotripsy?  The advantages are:The advantages are:  No lengthy hospital stays;No lengthy hospital stays;  No incisions;No incisions;  No surgery;No surgery;  No lengthy recoveryNo lengthy recovery periods.periods.  The disadvantages are:The disadvantages are:  Some discomfort.Some discomfort.  Medicine to preventMedicine to prevent infection.infection.  Passing sand-likePassing sand-like particles in the urine for aparticles in the urine for a few weeks after thefew weeks after the lithotripsy.lithotripsy.
  6. 6. During LithotripsyDuring Lithotripsy  Sometimes the doctor will prescribe a sedativeSometimes the doctor will prescribe a sedative to relax the patient.to relax the patient.  They will be put on the lithotripsy table and an x-They will be put on the lithotripsy table and an x- ray will be taken to see where the stone is.ray will be taken to see where the stone is.  Then, the lithotripsy machine will be put againstThen, the lithotripsy machine will be put against the side of the body close to the stone.the side of the body close to the stone.  The doctor will send sound waves through theThe doctor will send sound waves through the body to crush the stones. This does not hurt.body to crush the stones. This does not hurt.  A tapping sound can be heard as the stonesA tapping sound can be heard as the stones break.break.
  7. 7. ActivityActivity  You are the nurse inYou are the nurse in charge of out-charge of out- patients.patients.  Prepare a leaflet forPrepare a leaflet for the patient who is tothe patient who is to undergo lithotripsyundergo lithotripsy

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