Acute Glomerulonephritis: Defined as
an inflammation of the glomerular capillaries
-Patients typically recover quickly and completely from Acute Glomerulonephritis
-Most causes are infectious in nature, occurring about 10 days from the time of
-Lupus, Cirrhosis, Sickle Cell
-Strep, Mono, Hep B, Syphillis
-Immune complexes gather in the glomeruli and deposit themselves in the glomerular tissue.
-These complexes trigger inflammatory resport
-Tissue damage, local edema, and platelet activation occur
-Edema-Fluid volume excess
-Change in level of consciousness
-N/V, abdominal or flank pain, fever
-Fluid Volume excess
-HA, N/V, increase BP, low grade fever, periorbital edema, dark red smoky urine
-ANA for lupus
-culture for infectious process
-Restrict fluid, Na+, and protien
Chronic Glomerulonephritis Defined as
a slow progressive destruction of the glomeruli and gradual decline in renal function
-Occurs over 20 to 30 years
-Often the onset and cause is unknown
-Treat the underlying cause
Goal is to slow the progression of the disease and prevent complications
-Antihypertensives, Antibiotics, dietary restrictions
-Fluid Volume Excess
CGN-Fluid Volume Excess rt:
-decrease in renal function, impaired elimination
-decreased renal function, anemia
CGN-Acute Pain rt:
-Discuss importance of completing therapy
-Teach at risk clients for renal disease signs and symptoms
-Teach clients importance of the management of disease processes
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