By vgreene, 29 December, 2015 If fluid-restricted (eg, CHF, CKD, etc) consider reducing target urine volume, per ACP6
By vgreene, 29 December, 2015 ↑fluids to achieve daily urine output of ≥2 L/day per ACP1 and AHRQ;2 whereas AUA;3 and EAU4 recommend ≥2.5 L/day
By vgreene, 29 December, 2015 ACP7 concluded multicomponent diet studies showed mixed results. Inadequate evidence on tailoring tx by stone type or blood/urine chemistries, per ACP7 and AHRQ2
By vgreene, 29 December, 2015 Prophylactic abx may be useful in some cases; per AUA;3 EAU10 recommends considering short- or long-term abx
By vgreene, 29 December, 2015 If residual stones after surgical options exhausted, urease inhibitor acetohydroxamic acid may be beneficial, per AUA;9 if severe dz, consider acetohydroxamic acid (if available) per EAU.10 AHRQ11 concluded insufficient evidence
By vgreene, 29 December, 2015 After surgical procedure (if feasible): Consider urease inhibitor, acidifying urine, abx. Monitor UCx for re-infxn w/ urease-producing bacteria, per AUA8
By vgreene, 29 December, 2015 Increase fluid intake to achieve target urine output surgical procedures often required
By vgreene, 29 December, 2015 If fluid-restricted (eg, CHF, CKD, etc) consider reducing target urine volume or consider meds,6 per ACP7