Acute Poststreptococcal Glomerulonephritis
Nursing Management
•Blood Pressure control: ace inhibitors •Diuretics •Diet restrictions: Na++, fluids, restrict protein intake with level of proteinuria. •Treat UTI vigorously •Antibiotics for strep infection if still present •Dialysis—end stage renal disease
Acute Poststreptococcal Glomerulonephritis
•Develops 1-2 weeks after a strep infection of tonsils, pharynx or skin (strep, impetigo). •Antibodies to streptococcal antigen; tissue injury from deposition in the glomeruli resulting in inflammation.
Evaluation
•Serum BUN + Creatinine elevated •Antistreptolysin-O titers (ASO)
Prevention
▫Early diagnosis and treatment of strep infections (throat or skin) ▫Complete antibiotic therapy, even if feeling better! Most cases resolve, but if it progresses can lead to ESRD.
S/S
Generalized body edema, peri-orbital edema, ascites, hypertension, oliguria, hematuria with a smoky or rusty appearance, proteinuria.
