Glomerulonephritis

Glomerulonephritis

1. Acute Post- Streptococcal Glomerulonephritis (APSGN)

   • S&S
     • Periorbital edema
     • Progressing to generalizaed body edema
     • HTN
     • Oliguria
     • Hematuria (Smoky, Rusty appearance)
   • Dx studies
     • Hx and Physcal
     • Urinalysis
     • CBC/BUN, Serum creatinine
     • Renal biopsy
   • Nrsg& Collaborative Care
     • Rest
     • Anti-hypertensive
     • Diuretics
     • Fluid restriction
     • Protein restriction-if BUN elevated
     • Diet restriction
     • Abs only if infection still present
   • Common-Children & young Adult
     • Develops 5-21 days after an infection
       • Person produces antibodies to the streptococcal antigen
         • Inflammatory reaction
           • Resulting in decrease filtration of Metabolic waste products

2. S&S

   • Elevated resum Creatinine & Urea
   • Excretion of RBC, WBC, casts in urine
   • Proteinuria
   • Previous exposure involving immune disorders-SLE, Viral infections, hepatitis, immunizations
   • Renal insufficiency
   • Hematuria

3. Immunological processes involving the urinary tract mainly affect the renal glomerulus

   • Affects Both kidneys Equally