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AGN, NS 220

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Question
Answer
When is acute glomerulonephritis most common?   post streptococcol  
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How is damage cause with Acute Glomerulonephritis   damage is caused by an antigen-antibody complex that lodges in the glomeruli  
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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  
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What are s/s of acute glomerulonephritis?   edema, hematuria, lethargy, anorexia, headache, decreased LOC, possibly seizures  
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What is clinical thearapy for Acute Glomerulonephritis   bedrest, I&O, electrolyte monitoring, skin care for edema, monitor for HTN, meds, antihypertensives, diuretics  
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What are meds for acute Glomerulonephritis?   antihypertensives, diuretics  
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increased permeability of the glomerular membrane allows albumin to pass into the urine   nephrotic syndrome  
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Increased permeability of the glomerular memebrane allows albumin to pass into the urine with which syndrome?   Nephrotic Syndrome  
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With Nephrotic syndrome what does the kidney do?   reabsorb salt and water  
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What is nephrotic syndrome characterized by   edema, massive proteinuria, hyperlipidemia  
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Loss of protein in Nephrotic Syndrome leads to what?   decreased immunoglobulins and increased suseptibility to infection  
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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  
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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.)  
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What medications are used for Nephrotic Syndrome?   IV albumin, corticosteriods to reduce inflammatory response.  
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