Exam 2: Post Streptococcus Glomerulonephritis

Question 1

What is acute post-streptococcal glomerulonephritis (APSGN)?

Answer 1

Untreated strep throat that hits the kidneys
Most common childhood renal disease
Injury and inflammation to glomerular basement membrane
Most cases commonly occur between 4-12 years
strep → untreated → infiltrates glomerular membrane
Strain group a hemolytic strep hits the kidneys

Question 2

What are the signs and symptoms of strep?

Answer 2

Hypertension
Edema
Hypervolemia
Increased respiratory work, crackles
Fever, headache
Pale, lethargic, irritable
Vomiting, anorexia, abdominal pain
Dark/tea colored urine
Decreased urine output

Question 3

How is strep diagnosed?

Answer 3

Throat culture
Urinalysis
Check rate of inflammatory response, if an active infection is happening, and renal function

Question 4

Complications of strep

Answer 4

Severe hypertension
Hypertensive encephalopathy
Seizures
Cardiac decompensation from hypervolemia
Acute renal failure

Question 5

Treatment for strep

Answer 5

Antibiotics ONLY if throat culture positive
Supportive
Treat symptoms (antihypertensives)

Question 6

Nursing management for strep

Answer 6

BP
Fluid balance
Behavior
Regular diet, no added salt
Fluid restrictions
Activity restrictions if hypertensive or cardiac s/s
Respiratory distress (crackles) if fluid not removed

Question 7

What is the parent education for strep?

Answer 7

Prevention of infection
Medications
Adequate rest