post streptococcus glomerulonephritis

Question 1

acute post-streptococcal glomerulonephritis

Answer 1

-most common childhood renal didease
-injury & inflammation to the glomerular basement membrane

Question 2

when does APSGN usually occur?

Answer 2

between the ages 4-12 years

Question 3

what happens id APSGN goes untreated?

Answer 3

kidney failure

Question 4

clinical course of APSGN

Answer 4

latent period of 10-14 days after sore throat

Question 5

signs/symptoms of APGSN

Answer 5

-hypertension
-mild-moderate edema
-resp: increased WOB, crackles
-cardiac gallop
-fever headache
pale, lethargic, irritable
-V/A, abdominal pain
-dark/tea-colored urine

Question 6

lab findings of APGSN

Answer 6

-hematuria
-proteinuria
-oliguria
-elevated urine SG

Question 7

diagnosis

Answer 7

-throat culture (might be negative)
-ASO titers
-urinalysis
-BUN/creatinine
-serum protein levels
-increased ESR

Question 8

APSGN complications

Answer 8

-severe hypertension
-hypertensive encephalopathy
-seizures
-cardiac decompensation from hypervolemia
-acute renal failure

Question 9

APSGN treatment

Answer 9

-supportive
-treat symptoms (antihypertensives)
-antibiotics only is throat culture is positive

Question 10

APSGN nursing management

Answer 10

-blood pressure
-fluid balance
-behavior
-regular diet with no added salt
-fluid restrictions
-activity restrictions if hypertensive or cardiac s/s