Nephritis
Definition
Causes
Pathophsiology
Medical Management
Surgical Management
Nursing Mangement
Health Education
Infection and inflammation of the kidneys
Types
Acute
Chronic
Causes
Caused by an allergic reaction mainly by drugs (eG NSADS)
Common Findings and Assessments
History of allergy to certain drugs
Labarotory urine studies may reveal leukocytes and eosinophils Renal Biopsy may show intense inflammation around tubules
Withdrawal of drug or substance that is the cause Allow for recovery Administer a corticosteriod such as prednisone at a ratio of 1mg/kg/day
Cause
Complication of acute nephritis
Caused by an allergic reaction mainly by drugs (eg. NSADS)
Fungal toxins(eg. mushrooms)
Kidney Diseases (eg. Pyelonephritis )
Symptoms
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pain in the pelvis
pain or a burning sensation while urinating
a frequent need to urinate
cloudy urine
blood or pus in the urine
pain in the kidney area or abdomen
swelling of the body, commonly in the face, legs, and feet
vomiting
fever
high blood pressure
Diagnostic Procedures
Physical Examination
Urinalysis
CT Scan
Renal Ultrasound
Renal Biopsy
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Use fresh meats and vegetables instead of prepackaged ones. Prepackaged foods tend to be high in sodium.
Choose foods labeled “low sodium” or “no sodium” whenever possible.
Season your food with spices and herbs instead of sodium-blended seasonings or salt.
Always keep hydrated
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Record accurate intake and output
Administer Diuretics
Monitor urine specific gravity.
Weigh daily at the same time of the day.
Monitor heart rate and Bp.
Elevate edematous body part.
Monitor serum sodium.
Initiation Tubular cells begin to loose concentrating ability
Oliguric Tubular epithelium lost so there is reabsorption of most of the glomerular filtrate
Diuretic Regenerating epithelium cant yet reabsorb
Renal Decapsulation
Risk Factors
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a family history of kidney disease and infection
having an immune system disease, such as lupus
taking too many antibiotics or pain medications
recent surgery of the urinary tract