Refinery Worker with History of Kidney Stones: Steve Forbes is a 52-year-old refinery worker who wrecked his motorcycle on the way to work one morning. He was taken to the emergency room with multiple broken bones, and a CT scan was performed to rule
out internal injuries. Incidentally, the results of the CT scan showed that Mr. Forbes had two large stones in his right kidney. After Mr. Forbes's broken bones healed, he underwent surgery to have the kidney stones removed. An analysis of the stones determined that they were calcium oxalate stones. Two years later, Mr. Forbes experienced severe back pain, nausea, and the inability to urinate. He returned to the emergency room for treatment.Describe the medical nutrition therapy for calcium oxalate stones.
Limit foods high in oxalate. Consume adequate calcium. Moderate protein consumption. Control sodium and vitamin C intakes. Increase fluids to 12 to 16 cups a day.
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