𝓡𝓮𝓷𝓪𝓵 𝓓𝓲𝓼𝓸𝓻𝓭𝓮𝓻𝓼

1. Acute Glomerulonephritis CAUSE: Autoimmune Triamterene

2. Nephrotic Syndrome “Self Ingulting”
3. Urinary Tract Infection RISK:  2-5 years’ old c. Thiazide (K+ Wasting)
 GABHS (Group A - Check for
𝓡𝓮𝓷𝓪𝓵 𝓐𝓼𝓼𝓮𝓼𝓼𝓶𝓮𝓷𝓽 Beta blockers decrease level of
Hemolytic potassium
1. Instruct the patient t drain the Streptococcus) - Check for
bladder.  Tonsillitis increased level of
Pharyngitis calcium
2. Explain Procedure + Consent ANTI-HTN:
 Epiglottitis
3. Clients privacy - Check for
MANAGEMENT: GOAL: ↓ Inflammation
4. Position the patient: SUPINE  Rest the kidney decreased BP
5. Inspect the skin: Compare AB DIET: - ; decreased HR
from Normal.  ↓ CHON a. CCB meds
6. Auscultation using BELL part in  ↓ Na+ (calcium
 ↓ OFI channel
stet. blockers):
7. Percussion: 2 Fingers “DIPINE”
w/ BEDREST AND
8. Palpate MONITOR BP  (Nifedipine)
b. ACE Inhibitor:
DO NOT PALPATE WHEN THERE “PRIL” (Captopril,
DIURETICS:
IS WILM’S TUMOR. a. Loop (K+ Wasting) enalapril)
- “IDE” WOF; and STOP
𝑨𝒄𝒖𝒕𝒆 𝑮𝒍𝒐𝒎𝒆𝒓𝒖𝒍𝒐𝒏𝒆𝒑𝒉𝒓𝒊𝒕𝒊𝒔 - Check for immediately:
decrease level of A- Angioedema
Inflammation of the glomerulus potassium C- Cough (Persistent)
Ex. E- Elevated Potassium
Furosemide, Torsemide,
(+) Proteinuria (MILD) Bumetamide

b. K+ Sparring (Retain
Albumin potassium)
Cola Colored Urine/ - Check for STEROIDS:
Concentrated & Foamy increased level of - Anti-inflammatory
potassium. - “SONE”
Fluid Shifting (IVS-IS) urine
Ex.
Ex. Prednisone
Spironolactone Dexamethasone
EDEMA RAAS (Activated) Bethametasone
Aldactone
BP
 WOF: 𝑵𝒆𝒑𝒉𝒓𝒐𝒕𝒊𝒄 𝑺𝒚𝒏𝒅𝒓𝒐𝒎𝒆
Sugar (Hypergycemia)
𝑼𝒓𝒊𝒏𝒂𝒓𝒚 𝑻𝒓𝒂𝒄𝒕 𝑰𝒏𝒇𝒆𝒄𝒕𝒊𝒐𝒏
↓ Immune system
Damaged Glomerulus
Neutropenic Precaution Infection of the Urinary Tract
(Reverse Isolation)
× Green Leafy Lipoprotein
Vegetables Massive proteinuria Lower: Localized
Upper: Sysytemic
× Raw Foods = ↑Fats
× Fresh Fruits Kidney (Pyelonephritis) Bladder Urethra
× Flowers ↓ Albumin (Cystitis (urethritis)
Mgt: Ureter (Ureteritis) )
Concentrated &
1. Seek immediate Foamy urine.
care if patient Fluid Shifting (IVS- IS)
develops URTI S/Sx:
RISK: S/Sx:
2. Monitor v/s, i/o
and weight.  Fever  Hypogastric Pain
Fluid Volume Deficit  2-10 yrs old
 Chills  Dysuria
 GABAS
 Flank Pain  Voiding
 SLE ( systemic
CAUSE: ↓ BP Lupus  Dysuria Frequently
Autoimmnue erythematosus)  Voiding
↓ Immune System ↓IG (immunoglibulin) Frequently Causes: E. Coli
Butterfly rash
 Myocardial Dx: Risk:
Infarction
Prone to clot formation ↓ Heparin  Urinalysis  Female
 Pulmonary
 Urine  Foley Catheter
embolism
Dipstick  ↓ Immune System
 Stroke
 DVT (Pedia)  Advance Age
 Multiple Sex
Partners
MANAGEMENT:
Mgt: Diet: ↓Na+, ↑OFI
Diet: Prophylactic Antibiotic Anticoagulant: b. Warfarin (Long Term)
Antibiotic:Fluoroquinolones,
 ↑CHON a. Heparin: (Short Term) ROUTE: Oral Floxacin, Ciprofloxacin
 ↓ Na+ Steroids “SONE”
ROUTE: IV & SQ Check for: INR (International HT:
 ↑ OFI
Diuretics (Mild) Check for: aPTT (46-70-sec) normal ratio) 2-0-3.0 sec
 Front to Back washing.
 Avoid feminine wash (alters
Potassium Sparring: - Activated partial Monitor v/s, i/o, weight
o PH level, Prone to cervical
thromboplastin time Anti-lipids- this is toxic to liver!!
o cancer)
Spironolactone “satatin”  Use warm water/ritz bath
: Atorvastin and simvastin  Douching and void after sex.
WOF: Jaundice & Muscle pain