Exam 2 Kidney

Question 1

Nephrotic Syndrome Patho

Answer 1

glomerular membrane becomes permeable to proteins (leaks proteins into urine)

Question 2

Nephrotic Syndrome S/S

Answer 2

• Weight gain
• Facial edema (subsides during day)
• plural effusion
• diarrhea
• anorexia
• fatigue
• normal to slightly low BP
• frothy urine
• decreased urine output
• Protein in urine

Question 3

Nephrotic Syndrome Diagnostic

Answer 3

> 2+ protein in urine (UA)

• serum protein/albumin decreased
• Serum Na+ may be low

Question 4

Nephrotic Syndrome Onset

Answer 4

1st episode and relapse happen at the same time as viral/bacterial infection

Question 5

Nephrotic Syndrome Interventions

Answer 5

• 25% albumin infusions

- Dietary restriction (severe)

Question 6

Acute glomerulonephritis (AGN) Patho

Answer 6

Inflammation of the glomeruli and becomes permeable to RBC’s
(Streptococcal Infection)
-Increase of H2O = increase of Na+

Question 7

Acute glomerulonephritis (AGN) S/S

Answer 7

• periorbital edema travel throughout day
• facial edema
• pallor
• lethargy
• headache
• *Hypertension
• look sick
• After 10-21 days between strep and onset of symptoms
• *heRBCs and protein in urine

Question 8

Acute glomerulonephritis (AGN) Diagnostics

Answer 8

• Cloudy, smoky brown urine (decrease in urine)
• BUN/CREAT increased in 50% of pop
• • ASO titer

Question 9

Acute glomerulonephritis (AGN) Interventions

Answer 9

• Daily weights
• Vital Signs
• Strict I&O
• Dietary restrictions (low protein, salt, potassium)
• Monitor electrolytes and BP Q4-6hrs
• Meds: Diuretics or antihypertensives PRN

Question 10

Nephrotic Syndrome Meds

Answer 10

Corticosteroids (1st)

Diuretics