Case study: Nursing care of patient with Ureteral calculi who underwent a Ureterorenoscope with Lithotripsy and sepsis

Abstract

      This study was case study with the objective To study problems and nursing planning for patients with ureteral stones who have undergone endoscopic lithotripsy and have sepsis in the bloodstream. The study was conducted on a 52-year-old female patient with underlying diseases such as diabetes and high blood pressure 5 weeks before coming to the hospital. Had abdominal pain, fever, chills. Doctor sent for CT KUB examination.

     The results of the study found that first diagnosis was right renal calculi and the last diagnosis was right ureteral calculi. The treatment was surgery to Ureterorenoscope with Lithotripsy. Important nursing care plan in the preoperative period includes reducing urinary tract infections, reducing pain caused by calculi, and preparing for mental and physical pre-operation. The 1-hour post-operative period includes monitoring for dangers from the effects of residual drug anesthesia, reducing pain caused by Ureterorenoscope with Lithotripsy, monitoring for complications from Ureterorenoscope with Lithotripsy, preventable harm to patients with sepsis while in care and during transfer to the intensive care unit. The patient discharge period includes rehabilitation and correcting with remaining problems including anemia, constipation, and Inappropriate of knowledge urolithiasis prevent recurrence. The problems were completely resolved by the doctor then the patient was discharged from the hospital to home.