Glomerulonephritis

Question 1

Anytime you see “nephritis” , think___

Answer 1

kidney

Question 2

Glomerulonephritis is an inflammatory reaction in the__-

What do the antibodies do to the glomerulus?

Answer 2

Glomerulus

-they lodge in the glomerulus which cause scarring and decreased filtering.

Question 3

What is the main bacteria that causes glomerulonephritis?

Answer 3

Strept

Question 4

you always assess for a ___ throat.

Answer 4

sore/ strept throat

Question 5

what are the 2 organs that strept love to attack?

Answer 5

heart and kidneys

Question 6

Anytime you see a kidney patient who are experiencing malaise and headache, you know they’re retaining what?

Answer 6

toxins

Question 7

expect your BUN & Creatinine to___. why?

Answer 7

increase; cannot excrete urea or creatinine… these levels will build up in your blood

Question 8

you’ll see increases sediments and ___ in the urine.

Answer 8

protein; due to membrane increased permeability.

Question 9

costovertebral angle tenderness pain is AKA__

Answer 9

Flank pain

Question 10

expect this patient’s BP to___

Answer 10

increase

Question 11

This patient will most likely have ____ edema

Answer 11

facial

Question 12

what is erythropoetin?

Answer 12

a hormone secreted by the kidneys that increases the rate of production of red blood cells in response to falling levels of oxygen in the tissues.
(helps your RBCs to mature)

Question 13

So, if you have a sick kidney, why would you most likely become anemic?

Answer 13

kidney not making erythropoetin= cannot mature your RBCs

Question 14

If the BUN is increased, what kind of diet will they have?

Answer 14

low protein; because protein turns into urea and makes BUN increase.

Question 15

sodium in diet?

carbs?

Answer 15

• decrease it since we are hypervolemic
• increase it because carbs give us energy. they keep us from breaking down protein for energy (which we don’t want in this case)

Question 16

why would we want this patient on bedrest?

Answer 16

bedrest induces diuresis; important because this patient is in a hypervolemic state

Question 17

what is 1 standard thing we do no matter the disease with kidney people?

Answer 17

I & O, Daily weights

Question 18

how is fluid replacement determined?

Answer 18

9by their losses, plus 500 CCs (we add the extra 500 to count for the insensible fluid loss… fluid loss that you cannot see like sweat, exhalation)

Question 19

S/S of renal failure:

Answer 19

• malaise
• headache
• anorexia
• nausea
• vomiting
• decreased u.o
• weight gain