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23 Cards in this Set
- Front
- Back
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Pyelonephritis
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Kidney Infection caused by E-coli, Good prognosis, CVA pain, burning, cloudy with dtrong odor, Temp 102+,
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Tests for Pyelonephritis
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urine culture, proteinuria, excretory urography, asymmetrical kidneys
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Medical treatment for pyelonephritis
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Fluids, antibiotics, acid-ash diets, meds as Rx
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Chronic polynephritis
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history of bedwetting, unexplained fevers
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Types of Glomerulonephritis
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Acute (AGN)
Rapidly Progressive (RPGN) Chronic (CGN) |
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Acute Glomerulonephritis (AGN)
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2-3 weeks after strep or impetigo
Cola colored urine Flank pain, edema of face, hands and dependent areas, UTI symptoms, GI, skin breakdown |
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AGN DX
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UA - high specific gravity, proteinuria, blood in urine, Elevated ASO titers (antistreptolysin)
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TX for AGN
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Bedrest, Diet sodium and fluid restricted, increase cabs, antibiotics, diuretics and antihypertensives
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Rapidly progressive Glomerulonephritis (RPGN)
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Several weeks or months, may be caused by infection or multisystem diseases such as SLE, s/s same as AGN
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Treatment for RPGN
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same as AGN plus: plasmapheresis, immunosuppressants, anticoagulants, dialysis if uremia na d fluid rention is not controlled.
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Chronic Glomerularnephritis (CGN)
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Progressive over 20-30 years, may follow AGN, usually no cause, s/s HA, blurred vision, lassitude, dyspnea on exertion, weakness, fatigue, atrophy of kidney
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DX of CGN
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Fixed specific gravity 1.010, proteinuria, hematuria, elevated bun and Creatinine, elevated uric acid level, hyponatremia, hyperkalemia, hyperphosphatemia
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TX of CGN
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Supportive, dialysis, treat any AGN infections, counsel about pg and risks to mother/fetus
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NI for the three types of Glomerulonephritis
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Refer sore throats for propmt treatment.
Complete course of antibiotics Daily weights Strict I&O Assess for neuro changes Assess for fluid volume excess Observe for skin breakdown Bedrest when necessary Space ADL;s |
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Client teaching for Glomerulonephritis
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Follow up visits
prompt treatment of sore throats Diet Meds as perscribed Report s/s of AGN to HCP |
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NDX For glomerulonephritis
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Fluid volume excess
Nutrition altered Activity intolerance Knowledge deficit Infection |
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Nephrotic Syndrome (nephrosis)
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Results from a glomerular deficit that affects the vessels permeability. Indicates renal damage
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Nephrotic Syndrome is associated with
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Allergic reactions
infections'systemic diseases (SLE) Circulatory problems Cancers Pregnancy 50-75% develop renal failure within 5 years May have periods of remission and exacerbation |
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Clinical Manifestations of Nephrotic syndrome
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Severe generalized edema
pronounced proteinuria (> 3.5) Hyperlipidemia Urine volume decreases Diarrhea and loss of appetite Pallor Irritable Susceptble to infections |
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DX of nephrotic syndrome
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Frothy urine, massive proteinuria, increased casts, erum protein and albumin decreased, serum cholesterol and triglycerides elevated
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TX of Nephrosis
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Bed rest to conserve energy
Diet (high protein, high calorie, decreased sodium), protect from infection |
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Drugs for nephrosis
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corticosteroids, watch glucose levels, watch for cushingoid symptoms, diuretics, Salt-poor albumin
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NDX for nephrotic syndrome
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infection risk
Nutrition, altered Knowledge deficit |
