ACUTE GLOMERULAR NEPHRITIS (AGN) Flashcards
Acute Glomerular nephritis is an ___ of the ____ most often due to ___
Inflammation, basement membrane of the kidney, antigen/antibody reaction.
What is the typical description of urine with AGN?
It becomes clogged with antigen - antibody complexes which then cause inflammation and loss of function.
What are the first signs of AGN?
Puffiness of face, dark urine
Is dietary protein limited in AGN?
Not usually — however if there is severe azotemia then it maybe restricted — azotemia means nitrogenous wastes in the blood — increased creatinine, BUN
What is the best indicator of renal function?
The serum creatinine ( the GFR, glomerular filtration rate is actually better, but way more expensive).
AGN has a poor prognosis? (T/F)
False, the vast majority of all clients recover completely from it.
How can AGN be prevented?
By having all sore throats culture for strep and treating any strep infections.
What is the most important intervention in treating AGN?
Bedrest — they can walk if hematuria, edema, hypertension are gone.
What is the most common dietary restriction for AGN?
Moderate sodium restriction. Fluid restriction is #2 if edema is severe.
What are the urinalysis findings in AGN?
Hematuria usually found only in diseases ending in — it is
Proteinuria +3 to +4
Specific gravity up
How long after strep infection does AGN develop?
2 to 3 weeks after initial infection
How do you assess fluid excess in the child with AGN?
Daily weight
What organism causes acute glomerular nephritis?
Group A beta hemolytic strep
How often are vital sign measurements taken in AGN?
Q4 hours with blood pressure
Will the client have hypo or hyper tension with AGN? Why?
Hypertension, because of fluid retention
