Glomerulonephritis Mao Na Ni

8/4/2019 Glomerulonephritis Mao Na Ni

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4/21/12

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Glomerulonephritis

By: R.Monterona



4/21/12

Anatomical Introduction:

Proper function of the renal andurinary system is essential to life.When these vital functions areimpaired, it becomes a disease thatcould have a vast impact on theperson’s quality of life.



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ANATOMY ANDPHYSIOLOGY OF THE

KIDNEY



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Functions:

Renal Vein

This has a largediameter and a thin

wall. It carriesblood away from

the kidne and



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NEPHRON:



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Glomerulus and Bowman's

Capsule. This is where ultra-filtration takes

place. Blood from the renal artery is

forced into the glomerulus under highpressure.

Proximal Convoluted Tubules

This is the place where all that usefulglucose is re-absorbed from the ultra-filtrate and put back into the blood. If the glucose was not absorbed it

would end up in your urine.


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Functions of the kidney:

Urine formation

Excretion of waste products

Regulation of electrolytes

Regulation of acid-base imbalance

Control of water balance

Control of blood pressure

Renal clearance

Regulation of red blood cell



Glomerulonephritis:

Acute glomerulonephritis is morecommon in the children older than 2years of age, but it can occur at theany age.

By 2 to 3 weeks, this foreign bodyinitiates the bodies response to

activate defense which result toantigen-antibodies complexes beingdeposited to the glomeruli whichdamages and irritates the glomerulosand thus resultin to inflammation.



Medical Management:

-Management consists of primarily of treating symptoms, attempting topreserve kidney function, andtreating complications promptly.

-Penicillin for residualstreptococcus or other anti bacterial

meds.

-coticosteroids andimmunosuppresants for rapid

progressive acute



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Signs symptoms and Nursing management:

Signs and syptoms Nursing management

-Edema -hypertension

-increase carbohydrate intake

-oliguria

-pain-body weakness-serum BUN and serumCreatinine levels

-weight patient daily tomonitor progression of edema.-monitor bp of the patient.

(give anti hypertensives asprescribed).-to provide energy and avoidprotein catabolism.-Note I/O of the patient.-encourage bed rest- to promote healing and topromoteDieresis.- give anti-pain meds asprescribed PRN-prohibit protein intake-increase carbohydrate intake-give information to the



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ChronicGlomerulonephritis:

CGN may be due to repeatedepisodes of AGN. The Kidneys arereduced to as little as 1/5 of its size.

The cortex layer shrinks up to 2mm incortex making the edges rough.Numerous glomeruli are damaged

and tubules gets scarred and thetubules thickened.



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Medical management:

--water and sodium restriction

-weight daily

-diuretic medications given

-treat uti to inhibit progression of the disease

-protien restriction

-dialysis



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Signs symptoms andnursing management:

Signs and symptoms Nursing management

-Edema-hypertension -body weakness-pain- serum BUN and serumCreatinine levels

-weight daily- give anti-hypertensive drugs asprescribed.-increase carbohydrate intake-give anti-pain meds as prescribePRN.-prohibit protein intake



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Definition of terms:

Anemia- decreased number of redblood cells.

Creatinine-endogenous wasteproduct of muscle energy metabolism

Glomerulos-tuft of capilliariesforming part of the nephron throughwhich fibrillation occurs

Mictruition-urination or voiding

Nocturia-awakening at night to

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Glomerulonephritis Mao Na Ni