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The obstruction site correlates with the pain An upper ureteral or renal pelvic obstruction causes flank pain

Nursing Nov 19, 2020

The obstruction site correlates with the pain An upper ureteral or renal pelvic obstruction causes flank pain. Hematuria, dysuria, and urgency are symptoms as well (Curhan, 2020). A low-grade fever could be the start of a kidney infection. Renal colic can be caused by three different sources. The most common is urinary obstruction, which increases the intraluminal pressure and the stretch of the nerve endings. Irritation from direct contact of the stone in the ureteral mucosa or collecting cavity. Lastly, the renal capsule stretches from interstitial edema, especially when pyelonephritis is present (Favus, 2018). Frank is presenting with hematuria and extreme pain.  

My questions is --  Identify 1 pharmacologic treatment, including dose/duration, based on nephrolithiasis and provide your rationale. YOU MUST USE A NATIONALLY RECOGNIZED TREATMENT GUIDELINE. DO NOT use the PDR, or Epocrates. These are not treatment guidelines, but medication references. 

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