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[litho- + -tomy] The incision of a duct or organ, esp. of the bladder, for removal of a stone. SEE: lithotomy position
PATIENT CARE Noninvasive measures and prescribed analgesic agents are provided to relieve pain. Fluid balance is monitored, and, unless otherwise contraindicated by cardiac or renal status, fluid intake of 4 L/day is recommended to maintain a urine output of 3 to 4 L/day, which aids in the passage of small calculi (up to 5 mm in diameter) and prevents ascending infections. Supplemental IV fluids are provided if the patient is unable to tolerate the required volume by mouth. Vital signs and laboratory studies are monitored for signs of infection, and prescribed antibiotics are administered. The health care professional prepares the patient for lithotripsy or surgery, as indicated, by explaining postoperative equipment, care procedures, and expected sensations. Any incisions are assessed for drainage and healing; the character and amount of drainage are documented, usually via a ureteral catheter or nephrotomy tube (which should never be irrigated unless specifically prescribed). Using aseptic techniques, the health care professional protects surrounding skin from excoriation by redressing frequently. All urine is strained for evidence of stones, and any solid material is sent for analysis. Splinting the incision with a small pillow assists the patient to mobilize and to carry-out pulmonary hygiene. Based on laboratory analysis of the stone, treatments are prescribed to prevent recurrence.
Venes, Donald, editor. "Lithotomy." Taber's Medical Dictionary, 23rd ed., F.A. Davis Company, 2017. Nursing Central, nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/756196/all/vaginal_lithotomy.
Lithotomy. In: Venes D, ed. Taber's Medical Dictionary. 23rd ed. F.A. Davis Company; 2017. https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/756196/all/vaginal_lithotomy. Accessed October 16, 2019.
Lithotomy. (2017). In Venes, D. (Ed.), Taber's Medical Dictionary. Available from https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/756196/all/vaginal_lithotomy
Lithotomy [Internet]. In: Venes D, editors. Taber's Medical Dictionary. F.A. Davis Company; 2017. [cited 2019 October 16]. Available from: https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/756196/all/vaginal_lithotomy.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - lithotomy
ID - 756196
ED - Venes,Donald,
BT - Taber's Medical Dictionary
UR - https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/756196/all/vaginal_lithotomy
PB - F.A. Davis Company
ET - 23
DB - Nursing Central
DP - Unbound Medicine