AGN & Nephrotic Syndrome Flashcards
increased BP: nephritis or nephrotic
nephritis
decreased BP: nephritis or nephrotic
nephrotic
what illness can lead to AGN
strep
signs of post strep AGN
edema
hypertension
hematuria
albuminuria
signs of general AGN
hematuria
edema
HTN
azotemia/uremia
azotemia/uremia
an increased BUN & creatinine: leads to slowed nerve transmission (disoriented, lethargic, confused)
role of calcium channel blockers in AGN pt
increase GFR and decrease BP
diet for AGN pt
increase carbs
decrease proteins
decrease sodium
what is HTN encephalopathy
BP so high blood is going to other organs and not the brain
cause of heart failure in AGN pt
kidneys not getting rid of fluid–more for heart to pump
high dose corticosteroids plasmapheresis cytotoxic agents hemodialysis all tx for what?
end stage renal disease
GFR of what to be dx with ESRD
less than 15
what is an indicator that something is wrong in AGN pts
hypotension
normal GFR
greater than 60
what can lead to: hyperkalemia metabolic acidosis anemia hypoalbuminemia decreased Ca and increased P
GFR of less than 50 in pts with chronic GN
why should ACE inhibitors be avoided in chronic GN pts
nephrotoxic
anti-HTN meds that can be used in chronic GN pts to decrease the workload of the heart
metoprolol, lopressor, Ca channel blockers
diet for chronic GN pts
decreased Na and fluids, increased protein
clinical manifestations for chronic GN
edema, pallor, anorexia, hematuria/foamy urine, malaise, brittle hair/skin
infection, thromboembolism of renal vein, PE, ARF, and atherosclerosis all complications of what
nephrotic syndrome
tx of nephrotic syndrome (4)
albumin, diuretics, ace inhibitors, lipid lowering agents
role of albumin
strengthens vessel and brings fluid inside of vessel