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
while being treated with corticosteroids would we give live vaccines?
no
are live vaccines contraindicated in patients with nephrotic syndrome?
yes
