By vgreene, 11 July, 2024 Balanced diet w NL Ca 1 1 2 g day limited NaCl max 5 g day 1 3 veg and fiber rich limited animal protein 0 8 1 g kg day 1 3 low methionine diet but pts unlikely to comply 1 avoid excessive vitamin supplements1
By vgreene, 11 July, 2024 Don t further increase fluids if contraindicated or pt already at fluid target per ACP2
By vgreene, 11 July, 2024 Avoid cola if Ca stone per ACP 2 low quality evidence Water is preferred fluid per EUA1
By vgreene, 11 July, 2024 fluids to achieve daily urine output of 2 L day per ACP 2 whereas AUA3 and EUA1 recommend 2 5 3 L day intake to achieve urine output 3 L day Strong w goal of specific gravity of urine
By vgreene, 11 July, 2024 All cystine stone formers 1 2 are at high risk for recurrence for CKD 1 Perform complete hx blood and urine analyses to identify treatable underlying cause 1 Blood tests Cr Urine tests urine volume urine pH specific gravity cystine urine protein Dz may be