P-444 Approach To The Treatment Of Renal Colic

Silva M. (Centro De Saúde De Cantanhede), Tavares A.S. (Centro De Saúde Fernão De Magalhães), Fonseca G. (Centro De Saúde Da Lousã)
Keywords: Renal colic, drug treatment, pain
Aims and Purpose: Renal colic is described as one of the most intensely painful events experienced by humans. The estimated risk of a person suffering a renal colic in their lifetime is 1–10%. It is caused by an acute obstruction of ureter, in most cases caused by a calculation. It can also originate in other diseases of the urinary tract or even non-nefro-urological disease. The clinical diagnosis is usually easy, and the first major priority is to treat the pain. The purpose of this study is to ascertain the decision therapy of pain in renal colic by the Cantanhede Health Centre (CHC) and establish a comparison with that made by doctors in emergency service at the Coimbra University Hospital (HUC) – Portugal.
Design and Methods: Descriptive cross-section study. The data collection was done through a questionnaire distributed to all staff of CHC and an equal number of doctors in the HUC emergency service. The sample of physicians at HUC was random, resulting in 18 doctors. Data was automatically processed using Excel software.
Results: Diclofenac was the most prescribed drug, according to 32% of the responses of CHC staff and 39% of Hospital doctors, and the second one was Tramadol with metoclopramide, with 27% of preference at the Centre versus 18% at the Hospital. Butylscopolamine is still prescribed by 24% of CHC doctors against 11% of the Hospital. Pethidine is used by 24% of Hospital doctors and only 7% of CHC. As for non-drug therapy, 64% of the CHC doctors administered a serum against 36% of Hospital physicians.
Conclusion: We conclude that both at the CHC and the Hospital, doctors make use of Diclofenac, either on its own or in combination with an analgesic. The essential difference is that the analgesic with the highest rate of prescription by CHC doctors is Tramadol while Hospital staff favours Pethidine. Butylscopolamine as well as intravenous hydration are used less commonly by Hospital doctors.
Approach to the treatment of renal colic