glomerulonephritis mao na ni
TRANSCRIPT
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 1/14
4/21/12
Click to edit Master subtitle style
Glomerulonephritis
By: R.Monterona
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 2/14
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.
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 3/14
4/21/12
ANATOMY ANDPHYSIOLOGY OF THE
KIDNEY
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 4/14
4/21/12
Functions:
Renal Vein
This has a largediameter and a thin
wall. It carriesblood away from
the kidne and
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 5/14
4/21/12
NEPHRON:
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 6/14
4/21/12
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.
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 7/144/21/12
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
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 8/144/21/12
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.
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 9/144/21/12
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
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 10/14
4/21/12
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
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 11/14
4/21/12
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.
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 12/14
4/21/12
Medical management:
--water and sodium restriction
-weight daily
-diuretic medications given
-treat uti to inhibit progression of the disease
-protien restriction
-dialysis
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 13/14
4/21/12
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
8/4/2019 Glomerulonephritis Mao Na Ni
http://slidepdf.com/reader/full/glomerulonephritis-mao-na-ni 14/14
4/21/12
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