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Acute glomerulonephritis...
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Acute glomerulonephritis...
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Acute glomerulonephritis (AGN)as a classifcation includes a number of distinct entities. It may be a primary event or a
manifestation of a systemic disorder and the disease can range from mild to severe.
Many cases are postinfectious and have been associated with pneumococcal,
streptococcal, and viral infections. result from immune complex formation and
glomerular deposition
The common features (sign and symptoms) include:
• Oliguria
• Edema( is more prominent in the face in the morning but spreads during the day
to involve the extremities, genitalia, and abdomen)
• hypertension and circulatory congestion hematuria proteinuria.
Complications
• hypertensive encephalopathy
• acute cardiac decompensation
• acute kidney injury (AKI)
• hyperperfusion of the brain and cerebral edema.
Diagnosis
• Urinalysis (shows hematuria, proteinuria, and increased specifc gravity, The
urine is cloudy, smoky brown
• Cultures of the pharynx are positive for streptococci in only a few cases
Nursing management
monitoring of vital signs (including frequent measurement of
blood pressure), fluid balance, and behavior.
Assessment of the child’s appearance for signs of cerebral
complications is an important nursing function because the severity of
the acute phase is variable and unpredictable
the nurse should advise parents and friends against bringing items such
as potato chips or pretzels
Prepared by: Habeeb Taha
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