Nephritic & Nephrotic Syndrome Flashcards
Inflammatory & degenerative disorder of the glomerulus
Nephritic
Damage to both kidney from filtration of trapping of antibody-antigen complexes within the glomeruli resulting to
decrease glomerular filtration rate
Nephritic
Type of Nephritic: After 7 - 10 days after streptococcal throat infection
Acute Post-Streptococcal
Type of Nephritic: Immune reaction to the presence of an infectious organism (group A beta hemolytic streptococcus/GABHS)
Nephritic
Type of Nephritic: Hypertensive nephrosclerosis
Chronic Glomerulonephritis
Type of Nephritic:
Heat failure
Chronic renal failure
Chronic Glomerulonephritis
Nephritic S/Sx: Pathognomonic Sign
Periorbital Edema
Nephritic S/Sx 1st (8)
Flank pain
Costovertebral tenderness
Headache
Visual disturbance
Fever
Malaise
Weakness
Fatigue
Nephritic S/Sx 2nd (5)
Anorexia
Dyspnea (salt & water retention)
Tachycardia
Hypertension
Oliguria
Nephritic: Most important indicator of glomerular injury
Hematuria
Proteinuria
Nephritic pharmacologic management (3)
Diuretics
Antihypertensive
Corticosteroids
Nephritic Pharmacologic management: If residual streptococcal infection is suspected, ? is the agent of choice
Penicillin
Nephritic Nursing Management: Monitor (4)
VS
I and O
Daily Weight
Urine Specific Gravity
Nephritic Nursing Management: Dietary Restriction (3)
Soduim
Fluid
Protein
Nephritic Nursing Management: ? given liberally to provide energy and reduce the catabolism of protein
Carbohydrates