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TL GENITOURINARY
Pediatric Genitourinary Disorders
| Question | Answer |
|---|---|
| Define glomerulonephritis. | an immune complex response to an antecedent beta-hemolytic streptococcal infection of skin or pharynx; antigen – antibody complexes become trapped in the membrane of the glomeruli causing inflammation and decreased glomerular filtration |
| What is the disorder called that is caused by antigen/antibody complexes clogging up the glomeruli after a streptococcal infection? | Acute Glomerulonephritis (AGN) |
| What are the expected findings during an assessment if a client has Acute Glomerulonephritis (7 things)? | Recent streptococcal infection, Elevated antistreptolysin (ASO) titer, Elevated BUN and Creatinine, mild to moderate edema, irritability, lethargy, hypertension, Dark colored urine (hematuria), slight to moderate proteinuria |
| Your client is edematous, irritable, lethargic. Their blood pressure is elevated. Their urine is dark. They just recently got over strep throat. What do you suspect? | Acute Glomerulonephritis |
| What are some applicable nursing diagnosis with AGN? | Excess fluid volume; Risk for injury |
| Your patient has been diagnosed with Acute Glomerulonephritis. What are your responsibilities in regards to this patient? | Monitor VS especially BP, Monitor I&O, Weigh daily, Low sodium diet, Low potassium if oliguric, Encourage bed rest for acute phase (4-10 days), antihypertensives (maybe), Monitor for seizures/hypertensive encephalopathy, CHF, renal failure |
| What is the first sign of renal failure? | decreased urinary output |
| What is the name of a disorder in which the membrane of the glomeruli become permeable to protein usually between ages 2 and 3 (and we don’t understand why)? | Nephrotic Syndrome |
| Define Nephrotic Syndrome. | A disorder in which the membrane of the glomeruli become permeable to protein usually around age 2 or 3 possibly involving exacerbation and remission over several years. |
| What findings would we expect during a nursing assessment of a child with nephrotic syndrome? | Edema that starts out insidiously and become severe and generalized, lethargy, anorexia, pallor, frothy urine, massive proteinuria, hypoproteinemia (low serum protein), Elevated serum lipids |
| Your patient is 3 years old, edematous, lethargic, anorexic, pale, and mom says her urine is frothy. What do you suspect? | Nephrotic syndrome |
| Name a couple nursing diagnoses that would be applicable to the patient with nephrotic syndrome. | Excess fluid volume, imbalanced nutrition less than body requirements |
| Your patient has been diagnosed with nephrotic syndrome. What are your responsibilities in caring for this patient? | monitor temperature for signs of infection, protect from infected persons, skin care (edema), bed rest for edematous stage, abdominal girth, small frequent meals (normal protein, low salt), |
| What prescriptions are likely for a person with nephrotic syndrome? | Steroids (prednisolone) and cholinergics (Urecholine) , cytoxan if not responsive to prednisolone, IV albumin followed by diuretic |
Created by:
Perseverandovercome
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