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AGN, NS 220
| Question | Answer |
|---|---|
| When is acute glomerulonephritis most common? | post streptococcol |
| How is damage cause with Acute Glomerulonephritis | damage is caused by an antigen-antibody complex that lodges in the glomeruli |
| With Glomerulonephritis what labs would you see? | elevated BUN, elevated ESR, Elevated antistreptolysin (ASO) titer, renal ultrasound(enlarged kidneys) Urine, gross hematuria, proteinuria, azotemia (elevated nitrogenous waste, elevated CRT |
| What are s/s of acute glomerulonephritis? | edema, hematuria, lethargy, anorexia, headache, decreased LOC, possibly seizures |
| What is clinical thearapy for Acute Glomerulonephritis | bedrest, I&O, electrolyte monitoring, skin care for edema, monitor for HTN, meds, antihypertensives, diuretics |
| What are meds for acute Glomerulonephritis? | antihypertensives, diuretics |
| increased permeability of the glomerular membrane allows albumin to pass into the urine | nephrotic syndrome |
| Increased permeability of the glomerular memebrane allows albumin to pass into the urine with which syndrome? | Nephrotic Syndrome |
| With Nephrotic syndrome what does the kidney do? | reabsorb salt and water |
| What is nephrotic syndrome characterized by | edema, massive proteinuria, hyperlipidemia |
| Loss of protein in Nephrotic Syndrome leads to what? | decreased immunoglobulins and increased suseptibility to infection |
| What are the s/s of Nephrotic syndrome? | gradual onset of massive edema, starts as periorbital edema then shifts to abdomen and extremites, weight gain, ab pain, irritability, malaise, anorexia |
| What are nursing interventions for nephrotic syndrome? | promote rest, prevent skin breakdown, prevent infection, fluids usually not restricted, diet no added salt, small frequent meals, medications (IV albumin, corticosteriods to reduce inflammatory response.) |
| What medications are used for Nephrotic Syndrome? | IV albumin, corticosteriods to reduce inflammatory response. |