Mitchelle Hamilton
Millers College of Nursing
BSN 6
November 5th, 2015
Abstract
Glomerulonephritis (GN) is a type of kidney disease that involves the glomeruli. These are very small, important structures in the kidneys that supply blood flow to the small units in the kidneys that filter urine called the nephrons. During glomerulonephritis, the glomeruli become inflamed and impair the kidney's ability to filter urine. This can be a routine condition in childhood. Some children with GN can be treated in an outpatient setting, while others have to be hospitalized. This paper will illustrates the approach to GN in children from the standpoint of pathophysiology. An overview of the pathophysiology of glomerulonephritis, …show more content…
Some of these conditions could be infections, bacterial or immune diseases. Glomerulonephritis due to infection includes post-streptococcal glomerulonephritis, bacterial endocarditis and viral infection. Other reasons are from immune diseases such as lupus erythematosus, IgA nephropathy and Good pasture’s syndrome. The two most common causes are post-streptococcal glomerulonephritis and lupus. “Post-streptococcal glomerulonephritis occurs as an immune reaction to a Group A beta-hemolytic streptococcal infection of the throat or skin. This occur most frequently in young children ages 5 to 12 years”. McKinney, James, Murray, Nelson, and Ashwill, (2013). In condition such as lupus erythematosus this is where the body’s own immune system begins to fight against …show more content…
When there is an increase in kidney perfusion and blood is present, it causes the child to have a decline in his or her urine output. The book ( WHAT BOOK!!!) mentioned that nephrotic syndrome can be either secondary or primary. Primary type is the most common amongst young children and it can be triggered in the child by many diseases like cancer, hepatitis, heavy metal poisoning or lupus other complication are Acute Renal failure (p 1131).Book In Nephrotic syndrome signs of proteinuria, hypoalbuminemia, increase pulse rate, and hypertension can be present. In Nephrotic syndrome the pallor, fatigue, hypovolemia, normotensive insidious onsets, massive edema from shift of fluid into interstitial spaces that are worse during the days are more prominently seen in Toddler or preschool age child.