Exam 3 - Glomerulonephritis and Headaches

Question 1

What is postinfectious glomerulonephritis related to?

Answer 1

Strep infection

Question 2

Causes of chronic glomerulonephritis

Answer 2

Impetigo

Acute viral infections - upper resp infections, mumps, varicella zoster, Epstein barr, Hep B, HIV

Question 3

Inflammation of glomeruli and progression is different in each person

Answer 3

Glomerulonephritis

Question 4

Why is protein restricted in glomerulonephritis?

Answer 4

When renal insufficency and nitrogen retention develops

Question 5

Goal for protein restriction

Answer 5

0.6 to 0.8 g/kg of body weight per day

Question 6

Preventative medications for headaches

Answer 6

Inderal (Beta Blocker)
Lopressor (Beta Blocker)
Elavil (amitriptyline hydrochloride)
Valproate (divalproex)
Sibelium (flunarizine)
Pizotyline (serotonin antagonists)
Verapamil (calcium antagonists)
Topiramate (Topamax)
Gabapentin (Neurontin)

Question 7

Abortive medications for headaches

Answer 7

Imitrex - most commonly used, many forms, concerned if pt has heart disease
Amerge
Maxalt
Zomig
Axert
Oxygen - cluster headaches
Corticosteroids - cranial arteritis

Question 8

How do you enhance pain relief for headaches?

Answer 8

medications
Quiet, dark environment
HOB elevated 30 degrees
Symptomatic treatment
Relaxation therapy
Hot pads to neck for tension headaches
Avoid triggers

Question 9

Goals of treatment for headaches

Answer 9

Medicate before headache onset
Prevent triggers
Reduce incidence of headaches