Medical-Surgical Nursing
A 77 year old man was diagnosed with a right renal tumor size 3.5 cm.
he underwent a radical right nephrectomy. Which of following pot operative cares is of high priority?
الشرح
Core Concept: Post-operative nursing care and monitoring of solitary kidney function.
Clinical Presentation:
- Flank pain, hematuria, and a palpable abdominal mass (classic triad for renal cell carcinoma).
Diagnosis:
- First-line: Renal ultrasound or CT abdomen/pelvis.
- Gold Standard: CT/MRI with contrast and tissue biopsy.
Management:
- Acute: Post-nephrectomy, the highest priority is monitoring the function of the remaining solitary kidney by measuring hourly urine output (goal >30 mL/hr) and assessing for hemorrhage.
- Long-term: Monitor renal function (BUN/Creatinine), manage blood pressure, and strictly avoid nephrotoxic medications to protect the remaining kidney.