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19 terms

Glomerulonephritis

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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
AGN-Autoimmune
-Lupus, Cirrhosis, Sickle Cell
-Platelet activation-clots
AGN-Infections
-Strep, Mono, Hep B, Syphillis
Acute Glomerulonephritis:
Pathophysiology
-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
AGN-Assessment
-Urine characteristics
-Edema-Fluid volume excess
-Vital signs
-Change in level of consciousness
Clinical ManifestationsAGN-
-N/V, abdominal or flank pain, fever
-Headache
-Fluid Volume excess
AGN-FVE
-HTN
-decreased electrolytes
AGN-SS
-HA, N/V, increase BP, low grade fever, periorbital edema, dark red smoky urine
AGN-Diagnostics
-BUN/Creatinine
-Urine Protein
-ANA for lupus
-culture for infectious process
-ESR
AGN-Pharm Treatment
-Corticosteriods
-Diuretics
-Vasodilators
-Antibiotics
AGN-Non-pharmacological Treatment
-Restrict fluid, Na+, and protien
-promote rest
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
CGN-Treatment
-Treat the underlying cause
Goal is to slow the progression of the disease and prevent complications
-Antihypertensives, Antibiotics, dietary restrictions
CGN-Nursing Diagnoses
-Fluid Volume Excess
-Fatigue
-Acute Pain
CGN-Fluid Volume Excess rt:
-decrease in renal function, impaired elimination
CGN-CGN-Fatigue rt:
-decreased renal function, anemia
CGN-Acute Pain rt:
-inflammation/infection
CGN-Diet Considerations
-Low Sodium
-Fluid Restriction
-Protein restriction
-Phosphate restriction
CGN-Health Promotion
-Discuss importance of completing therapy
-Teach at risk clients for renal disease signs and symptoms
-Teach clients importance of the management of disease processes