Glomerulonephritis Flashcards
1
Q
Glomerulonephritis - Pathophysiology
A
-
Injure and inflame the glomerulus
> job is to filter blood
> inflamed glomeruli allows passage of blood & protein into urine -
Post infection
> Group A beta-hemolytic streptococcal; autoimmune disease (SLE)
> diabetic glomerulosclerosis - Acute vs Chronic
-
Comps
> hypertensive encephalopathy (extremely high BP inflamming things in head)
> heart failure/pulmonary edema
2
Q
Glomerulonephritis - CMs
7
A
-
Azotemia
> an abnormal concentration of nitrogenous wastes in blood
> look at elevated BUN & Cr - Edema/HTN
- Fluid vol excess
- Hematuria
-
Proteinuria/Dcrd serum albumin
> excreting more than 3g of protein - Severe AKI; oliguria
3
Q
Glomerulonephritis - Diagnosis
A
-
Urinalysis
> hematuria
> proteinuria -
EKG & tele
> high potassium -
CXR
> looking for fluid in lungs -
Lab values
> BUN, Cr, electrolytes, protein -
CT/MRI
> sizing -
Biopsy
> cause
4
Q
Glomerulonephritis - Medical Surgical Treatment
A
-
Antihypertensive meds
> protein spilling = ACE-I - Immunosuppressant
- Anitbiotics
- Diuretics
- EKG
- Dialysis
-
Epogen
> if complete failure -
Lab values
> BUN, Cr, electrolytes, protein
5
Q
Glomerulonephritis - Nursing Diagnosis
A
- Excess fluid vol
- Risk for electrolyte imbalance
-
Risk for confusion
> hypertensive encephalopathy, build up of waste in blood, incrd Na - Imbalanced nutrition, less than
- Acute pain
6
Q
Glomerulonephritis - Nursing Interventions
A
- Admin meds
- Monitor I&Os/labs
- Assess fluid status
- Daily weight
- Fluid/Na restriction
- High carb diet; energy prevent catabolism of protein
- Assess for pain & treat
- Monitor for comps
7
Q
Infectious Agents Associated with Glomerulonephritis
A
- Group A beta-hemolytic Streptococcus
- Staphylococcal, Mycoplasma, or Klebsiella pneumonia
- Syphilis
- Dengue
- Hantavirus
- Varicella
- Parvovirus
- Hep B & C
- Cytomegalovirus
- Epstein-Barr virus
- Human Immunodeficiency Virus (HIV)
