Acute glomerulonephritis (GN) comprises a specific set of renal diseases in which an immunologic mechanism triggers inflammation and proliferation of glomerular tissue that can result in damage to the basement membrane, mesangium, or capillary endothelium. Show
What is Acute Glomerulonephritis?Hippocrates originally described the natural history of acute glomerulonephritis (GN), writing of back pain and hematuria followed by oliguria or anuria. Richard Bright (1789-1858) described acute GN clinically in 1827, which led to the eponymic designation Bright disease. With the development of the microscope, Theodor Langhans (1839-1915) was later able to describe the pathophysiologic glomerular changes.
PathophysiologyAcute Glomerulonephritis involves both structural changes and functional changes.
Statistics and IncidencesAcute Glomerulonephritis represents 10-15% of glomerular diseases.
CausesThe causal factors that underlie acute GN can be broadly divided into infectious and noninfectious groups.
Clinical ManifestationsPresenting symptoms appear 1 to 3 weeks after the onset of a streptococcal infection.
Assessment and Diagnostic FindingsThere are a lot of renal syndromes that may mimic the symptoms of acute GN, so accurate assessment and diagnosis is essential.
Medical ManagementTreatment of acute glomerulonephritis (AGN) is mainly supportive, because there is no specific therapy for renal disease.
Pharmacologic ManagementThe goals of pharmacotherapy are to reduce morbidity, to prevent complications, and to eradicate the infection.
Nursing ManagementThe nurses’ role in the care of a child with AGN is crucial. Nursing AssessmentAssessment of a child with AGN include:
Nursing DiagnosesBased on the assessment data, the major nursing diagnoses are:
Nursing Care Planning and GoalsNursing care planning goals for a child with acute glomerulonephritis are:
Nursing InterventionsNursing care of a child with AGN includes the following interventions:
EvaluationGoals are met as evidenced by:
Documentation GuidelinesDocumentation in a child with AGN must include:
Practice QuizHere’s a 5-item quiz about the study guide. Please visit our nursing test bank page for more NCLEX practice questions. 1. When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover? A. Scabies 1. Answer: B. Impetigo
2. Nurse Jeremy is evaluating a client’s fluid intake and output record. Fluid intake and urine output should relate in which way? A. Fluid intake should be double the urine output. 2. Answer: B. Fluid intake should be approximately equal to the urine output.
3. Nurse Kai is evaluating a female child with acute post-streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement? A. Increased urine output 3. Answer: A. Increased urine output
4. A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Note: More than one answer may be correct. A. Urine specific gravity of 1.040 4. Answers: A, B, and C.
5. Which of the following conditions most commonly causes acute glomerulonephritis? A. A congenital condition leading to renal dysfunction 5. Answer: B. Prior infection with group A Streptococcus within the past 10-14 days.
Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis quizlet?Symptoms usually include fever, flank pain, nausea, vomiting, burning on urination, increased frequency, and urgency.
What is the pathophysiology of acute glomerulonephritis?Acute glomerulonephritis (AGN) comprises a specific set of kidney diseases in which an immunologic mechanism triggers inflammation and proliferation of glomerular tissue that can result in damage to the basement membrane, mesangium, or capillary endothelium.
What's the difference between nephrotic syndrome and glomerulonephritis?GN may be restricted to the kidney (primary glomerulonephritis) or be a secondary to a systemic disease (secondary glomerulonephritis). The nephrotic syndrome is defined by the presence of heavy proteinuria (protein excretion greater than 3.0 g/24 hours), hypoalbuminemia (less than 3.0 g/dL), and peripheral edema.
Is glomerulonephritis nephritic or nephrotic?Glomerulonephritis is a group of diseases that injure the part of the kidney that filters blood (called glomeruli). Other terms you may hear used are nephritis and nephrotic syndrome. When the kidney is injured, it cannot get rid of wastes and extra fluid in the body.
|