AGN Flashcards
clinical manifestations
proteinuria hematuria (cola colored) edema hypertension azotemia flank/abd pain fever malaise
risk factors
group A strep throat
immunological disorders - Lupos, DM
hypertension
> protein & Na in diet
diagnostics
> CBC
BUN & creatinine
proteinuria
enlarged kidney
pharmacology
corticosteroids
calcium channel blockers
ACE inhibitors
penicillin
nursing management
> carbs
< protein, sodium
monitor fluid status - I&O, daily weights
complications
hypertensive encephalopathy heart failure pulmonary edema ESRD > MI risk
what causes AGN?
group A strep
scarring of basement membranes from lock & key complex - allows passage of protein & blood cells
what is the purpose of corticosteroids?
< inflammation
< proteinuria
what do you do for hypertensive encephalopathy?
a medical emergency - < BP stat
why would heart failure occur?
overload/overwork of the heart
why would pulmonary edema occur?
build up of fluid
why is there > risk of MI?
liver tries to compensate by producing more albumin but it produces cholesterol along with it
