GU - glomerulonephritis vs nephrotic syndrome Flashcards Preview

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Flashcards in GU - glomerulonephritis vs nephrotic syndrome Deck (17)
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1

s/s of glomerulonephritis

HTN (in some cases)

2

intervention for glomerulonephritis if s/s of HTN

anti-hypertensive medications (if presenting)
diuretics if development of CHF

3

nursing care w/glomerulonephritis

monitor vitals, I/O's, *daily weights
limit activity - frequent rest periods

4

diet restrictions for glomerulonephritis

limit salt intake (if HTN); otherwise as tolerated

5

prevention of glomerulonephritis

prevention through treatment of group A beta-hemolytic strep infections

6

course of glomerulonephritis

2-3 weeks (acute)

7

intervention for nephrotic syndrome

corticosteroids=prednisone (4weeks to 3 months - 3 times/day - tapered as symptoms resolve)
diuretic therapy
prophylactic antibiotics (penicillin)

8

effect of corticosteroids on nephrotic syndrome

decrease the excretion of proteins - proteinuria

9

benefit of prednisone is evident in

2-3 weeks

10

pt with nephrotic syndrome is at risk for infection, monitor this patient, why?

losing immunoglobins
losing protein
immuno-compromised due to corticosteroid treatment

11

diet for nephrotic syndrome

no sodium
small, frequent meals

12

prevention for nephrotic syndrome

unsure -cause is hyper-sensitivity/immune reaction

13

will a child w/nephrotic syndrome be susceptible to relapse?

yes, chronic - up to teenage years
monitor pt. for a while

14

effect of nephrotic syndrome during teenage years

body image issues/concerns
school may be hard related to body image concerns

15

follow up care for nephrotic syndrome

weekly urine checks, then monthly until completely clear

16

while being treated with corticosteroids would we give live vaccines?

no

17

are live vaccines contraindicated in patients with nephrotic syndrome?

yes