Glomerulonephritis is a type of kidney disease in which the part of your kidneys that helps filter waste and fluids from the blood is damaged.
Symptoms of Glomerulonephritis
Common symptoms of glomerulonephritis are:
- Blood in the urine (dark, rust-colored, or brown urine)
- Foamy urine
- Swelling (edema) of the face, eyes, ankles, feet, legs, or abdomen
Symptoms that may also appear include the following:
- Abdominal pain
- Cough
- Diarrhea
- General ill feeling
- Fever
- Joint aches
- Muscle aches
- Loss of appetite
- Shortness of breath
Nursing Assessment for Glomerulonephritis- Genitourinary
- Turbid urine
- Proteinuria
- Decrease in urine output
- Haematuria
- Cardiovascular
- Hypertension
- Neurological
- Lethargy
- Irritability
- Seizures
- Gastrointestinal
- Anorexia
- Vomitus
- Diarrhea
- Hematology
- Anemia
- Azotemia
- Hyperkalaemia
- Integumentary
- Pale
- Edema
Read More : Nursing Assessment for Glomerulonephritis
Nursing Diagnosis for Glomerulonephritis
- Ineffective Tissue Perfusion related to water retention and hypernatremia
- Risk for Imbalanced Fluid Volume related to oliguric
- Risk for Imbalanced Nutrition: Less than Body Requirements related to anorexia.
- Activity Intolerance related to fatigue.
- Risk for Disturbed Sleep Pattern related to immobilization and edema.
Read More : Nursing Diagnosis for Glomerulonephritis
Nursing Intervention for Glomerulonephritis
Ineffective Tissue Perfusion related to water retention and hypernatremia
Expected Results :
Clients will demonstrate normal cerebral tissue perfusion is marked with blood pressure within normal limits, decreased water retention, no signs of hypernatremia.
- Blood Pressure Monitor and record every 1-2 hours per day during the acute phase.
Rational: to detect early symptoms of blood pressure changes and determine further intervention. - Keep the airway hygiene, prepare suction
Rational: n happen due to lack of oxygen to the brain perfusion. - Set of anti-hypertension, monitor client reactions.
Rationale: Anti-Hypertension can be due to uncontrolled hypertension can cause kidney damage. - Monitor the status of the volume of liquid every 1-2 hours, monitor urine output (N: 1-2 ml / kg / hr).
Rational: The monitor is very necessary because the expansion of the volume of fluid can cause blood pressure to rise. - Assess neurological status (level of consciousness, reflexes, pupil response) every 8 hours.
Rational: To detect early changes in neurological status, facilitate subsequent intervention. - Set of diuretics: Esidriks, Lasix appropriate orders.
Rational: Diuretic can increase the excretion of fluids.
Read More : Nursing Intervention for Glomerulonephritis
