Gold Standards & Treatments
Condition & Management
Nephrolithiasis
Nephrolithiasis
• Pain management: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen.
• Hydration: Increased fluid intake to help pass the stones.
• Medical expulsive therapy: Alpha-blockers like tamsulosin to facilitate stone passage.
• Surgical intervention: Extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy for larger stones.
• Hydration: Increased fluid intake to help pass the stones.
• Medical expulsive therapy: Alpha-blockers like tamsulosin to facilitate stone passage.
• Surgical intervention: Extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy for larger stones.
Supportive Care
Supportive care manages symptoms and maintains comfort while primary therapy targets the underlying cause.
Key Components
- Hydration: Oral/IV fluids as needed.
- Pain & Fever: Acetaminophen/NSAIDs as appropriate.
- Oxygen Therapy: For respiratory distress.
- Nutritional Support: Adequate intake; special diets when indicated.
- Monitoring: Vitals, O2 sat, early detection of deterioration.
- Rest: Encourage recovery.
- Manage Complications: e.g., dehydration, seizures, delirium.
In viral illnesses (e.g., where acyclovir/valacyclovir are used), supportive care addresses dehydration, pain, and monitoring for complications.