Glomerulonephritis

Periorbital and Facial Edema

What is it?

A condition that affects the kidneys’ glomeruli, increasing inflammation and impairing their ability to function properly.  Causes: Immune disorders, history of group A beta-hemolytic streptococcal infections.  The client may have had pharyngitis or tonsillitis 2 to 3 weeks before symptoms 

 

Symptoms

  • Blood in the urine (Hematuria)
  • Proteinuria and Azotemia (↑ BUN)
  • Foamy urine
  • Smoky, brown-colored urine (coca cola urine)
  • Hypertension
  • Swelling in the face, feet, and ankles
  • Decreased urine output
  • ↑ antistreptylysin O titer (used to diagnosed streptoccocal infections)
Brown-colored/Coca cola urine

Nursing Interventions

  • Monitoring blood pressure
  • Daily weight
  • Monitor urine output
  • Moderate sodium diet to prevent hypertension and edema
  • Avoid high potassium foods if oliguric
  • Restrict protein if azotemia present (↑ BUN)
  • Diuretics and antihypertensives
  • Teach parents to seek treatment for all streptococcal infections

 

Weight best way to monitor fluid status

Complications: Renal failure, pulmonary edema, heart failure, hypertensive encephalopathy

Review Your Cart
0
Add Coupon Code
Subtotal