Glomerulonephritis Assessment
- Group A Beta-Hemolytic Streptococcal Infection
- Hypertension
- Hematuria
- Proteinuria
- Oliguria
- Generalized Edema
- Increased BUN and CR
- Flank Pain
Acute Glomerulonephritis Interventions
- Rest
- Restrict Salt and Fluid Intake
- Restrict Protein
- Antihypertensives
- Diuretics
- Antibiotics
Chronic Glomerulonephritis Interventions
- Corticosteroids
- Antihypertensives
- Erythropoietin
- Cytotoxic Agents
- Dialysis
- Plasmapheresis
- Transplant
Pyelonephritis Assessment
- Ascending Urethral Bacteria
- Dysuria
- Fever
- Fatigue
- Flank Pain
- Costovertebral Tenderness
- Nausea and Vomiting
Pyelonephritis Interventions
- Urinalysis
- NSAIDs
- Antibiotics
- Increase Fluid Intake
- Avoid Catheterization
- Urosepsis
Nephrotic Syndrome
- Massive Proteinuria > 3.5g per Day
- Edema
- Increased risk of infection
- Thromboembolism
- Hyperlipidemia
- Fatty casts
Nephritic Syndrome
- Inflammatory
- Hematuria
- RBC casts
- Increased Nitrogen in blood
- Oliguria
- Hypertension
- Proteinuria < 3.5 grams per day
Kidney Transplant
- End Stage Renal Disease (ESRD)
- Selective Candidacy
- Close Compatibility
- Immunosuppressants
- Monitor for Rejection
- Monitor for Infection
- Monitor Urine Output
Wilms' Tumor (Nephroblastoma)
- Malignant Renal Tumor
- Abdominal Mass
- Hematuria
- Fever
- Hypertension
- Nephrectomy
- Chemotherapy
- Radiation
- Do Not Palpate Abdomen
- Children Under 5 Years Old
Nephrotic Syndrome
- Occurs 2-3 weeks after a Strep infection
- Hypoalbuminemia
- Generalized Edema
- I and Os with Daily Weights
- Reduce Sodium and Fluids during periods of massive edema
- Massive Proteinuria
- Monitor serum protein levels
- Monitor urine specific gravity