nursing:renalcolic

ED nurse initiated Rx of the patient presenting with probable renal colic

introduction

  • patients with probable renal colic usually require iv morphine ASAP to manage their pain and most could be transferred to an EOU bed if the diagnosis is relatively clearcut
  • their length of stay in ED could be reduced and their symptoms partly relieved by nurse initiated ED Rx, although it is recognised that these presentations can be complex and warrant timely medical assessment to properly exclude important red flags.
  • the following is a suggested framework for ED's who have nurses accredited to undertake ED nurse initiated treatment including the ordering of pathology tests.

specific history and examination

specific nurse initiated Rx for renal colic

red flags to escalate medical referral

  • the elderly are particularly susceptible to time critical life threatening urosepsis

  • hypotension
  • epigastric pain
  • pregnancy

initial Mx

nursing/renalcolic.txt · Last modified: 2012/07/23 05:31 by gary1