ACUTE GLUMEROLUNEPHRITIS

PREDISPOSING FACTORS PRECIPITATING FACTORS

 Genetic factors  Streptococcal infections

 Viral infections
 Bacterial endocarditis

SIGNS AND SYMPTOMS

GLOMERULI  Pink or cola-colored urine from red

blood cells in your urine
Glomeruli are very small, (hematuria)
important structures in the
kidneys that supply blood flow  Foamy urine due to excess protein
to the small units in the (proteinuria)
kidneys that filter urine called  High blood pressure (hypertension)
the nephrons. During
glomerulonephritis, the  Fluid retention (edema) with
glomeruli become inflamed and swelling evident in your face,
impair the kidney's ability to
hands, feet and abdomen
filter urine.

DIAGNOSTIC TEST

 Urine test
COMPLICATIONS  Blood tests
 Imaging tests
 Acute kidney failure
 Kidney biopsy
 Chronic kidney disease
 High blood pressure
 Nephrotic syndrome
Nursing Diagnosis

Excess fluid volume

Activity Intolerance
DEPENDENT INTERVENTIONS
Risk for Injury
Obtain throat culture for
analysis and sensitivities.
INDEPENDENT INTERVENTIONS
Administer antibiotic therapy
Monitor vital signs every 4 hours; notify
to the child and to family
any significant changes.
members if ordered.
Auscultate breath sounds for the presence
Administer antihypertensives, of crackles. Observe for increased work of
diuretic therapy, cardiac breathing, cough, and nasal flaring.
glycoside as ordered; Observe
for therapeutic effect. Elevate edematous body part while the child
is in bed or sitting in a chair.

Assess the level of weakness and fatigue,

ability to move about in bed and engage in
play activities.

Schedule care and provide rest periods

after any activity in a quiet environment.

Encourage foods low in sodium, potassium,

and protein during the acute phase of AGN;
Instruct to increase intake of food high in
carbohydrates and fats (only during the
acute phase of AGN), as ordered.