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23 Cards in this Set

  • Front
  • Back
Kidney Infection caused by E-coli, Good prognosis, CVA pain, burning, cloudy with dtrong odor, Temp 102+,
Tests for Pyelonephritis
urine culture, proteinuria, excretory urography, asymmetrical kidneys
Medical treatment for pyelonephritis
Fluids, antibiotics, acid-ash diets, meds as Rx
Chronic polynephritis
history of bedwetting, unexplained fevers
Types of Glomerulonephritis
Acute (AGN)
Rapidly Progressive (RPGN)
Chronic (CGN)
Acute Glomerulonephritis (AGN)
2-3 weeks after strep or impetigo
Cola colored urine
Flank pain, edema of face, hands and dependent areas, UTI symptoms, GI, skin breakdown
UA - high specific gravity, proteinuria, blood in urine, Elevated ASO titers (antistreptolysin)
TX for AGN
Bedrest, Diet sodium and fluid restricted, increase cabs, antibiotics, diuretics and antihypertensives
Rapidly progressive Glomerulonephritis (RPGN)
Several weeks or months, may be caused by infection or multisystem diseases such as SLE, s/s same as AGN
Treatment for RPGN
same as AGN plus: plasmapheresis, immunosuppressants, anticoagulants, dialysis if uremia na d fluid rention is not controlled.
Chronic Glomerularnephritis (CGN)
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
Fixed specific gravity 1.010, proteinuria, hematuria, elevated bun and Creatinine, elevated uric acid level, hyponatremia, hyperkalemia, hyperphosphatemia
Supportive, dialysis, treat any AGN infections, counsel about pg and risks to mother/fetus
NI for the three types of Glomerulonephritis
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
Client teaching for Glomerulonephritis
Follow up visits
prompt treatment of sore throats
Meds as perscribed
Report s/s of AGN to HCP
NDX For glomerulonephritis
Fluid volume excess
Nutrition altered
Activity intolerance
Knowledge deficit
Nephrotic Syndrome (nephrosis)
Results from a glomerular deficit that affects the vessels permeability. Indicates renal damage
Nephrotic Syndrome is associated with
Allergic reactions
infections'systemic diseases (SLE)
Circulatory problems
50-75% develop renal failure within 5 years
May have periods of remission and exacerbation
Clinical Manifestations of Nephrotic syndrome
Severe generalized edema
pronounced proteinuria (> 3.5)
Urine volume decreases
Diarrhea and loss of appetite
Susceptble to infections
DX of nephrotic syndrome
Frothy urine, massive proteinuria, increased casts, erum protein and albumin decreased, serum cholesterol and triglycerides elevated
TX of Nephrosis
Bed rest to conserve energy
Diet (high protein, high calorie, decreased sodium), protect from infection
Drugs for nephrosis
corticosteroids, watch glucose levels, watch for cushingoid symptoms, diuretics, Salt-poor albumin
NDX for nephrotic syndrome
infection risk
Nutrition, altered
Knowledge deficit