GU - glomerulonephritis vs nephrotic syndrome Flashcards
s/s of glomerulonephritis
HTN (in some cases)
intervention for glomerulonephritis if s/s of HTN
anti-hypertensive medications (if presenting)
diuretics if development of CHF
nursing care w/glomerulonephritis
monitor vitals, I/O’s, *daily weights
limit activity - frequent rest periods
diet restrictions for glomerulonephritis
limit salt intake (if HTN); otherwise as tolerated
prevention of glomerulonephritis
prevention through treatment of group A beta-hemolytic strep infections
course of glomerulonephritis
2-3 weeks (acute)
intervention for nephrotic syndrome
corticosteroids=prednisone (4weeks to 3 months - 3 times/day - tapered as symptoms resolve) diuretic therapy prophylactic antibiotics (penicillin)
effect of corticosteroids on nephrotic syndrome
decrease the excretion of proteins - proteinuria
benefit of prednisone is evident in
2-3 weeks
pt with nephrotic syndrome is at risk for infection, monitor this patient, why?
losing immunoglobins
losing protein
immuno-compromised due to corticosteroid treatment
diet for nephrotic syndrome
no sodium
small, frequent meals
prevention for nephrotic syndrome
unsure -cause is hyper-sensitivity/immune reaction
will a child w/nephrotic syndrome be susceptible to relapse?
yes, chronic - up to teenage years
monitor pt. for a while
effect of nephrotic syndrome during teenage years
body image issues/concerns
school may be hard related to body image concerns
follow up care for nephrotic syndrome
weekly urine checks, then monthly until completely clear
