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Glomerulonephritis

  • A NON BACTERIAL INFLAMMATION OF THE KIDNEY’S GLUMEROLUS.
  • Usually a result of an antigen antibody response to a beta hemolytic streptococci
  • (this means that the patient usually had strep throat 2-3 weeks prior).
  • SERUM CREATININE LEVEL
  • BLOOD UREA NITROGEN BUN

ASSESSMENT
– Monitor the patient for dark color, cloudy appearance and foul odor urine.
– WBC blood count will be above 10,000/ mm3
– Blood culture will be positive for presence of bacteria.
– Azotemia= presence of nitrogenous waste products in the blood.

Wilms Tumor (Nephroblastoma)
– a common intraabdominal tumors of the childhood.
– usually associated with genitourinary anomalies.

Assessment:
– patient will have a swelling or mass within the abdomen.
– the patient will have hypertension, hematuria, pallor and anorexia

NEVER AND DO NOT palpate the abdomen of the patient.

Urine Culture and Sensitiviy

CREATININE CLEARANCE TEST

  1. CREATININE CLEARANCE TEST, EVALUATES HOW WELL THE KIDNEYS REMOVE CREATININE
  2. BLOOD IS DRAWN AFTER TAKING THE URINE SAMPLE.

Bladder Ultrasonography
Intravenous Pyelography

  • AN X RAY PROCEDURE
  • USES A RADIOPAQUE DYE
  • ASSESS FOR ALLERGIES

Renal Angiography
– an IV injection of radiopaque dye is inserted into the renal artery

  • – INJECTION OF A RADIOPAQUE DYE
  • – OBTAIN INFORMED CONSENT.
  • – ASSESS FOR ALLERGIES
  • – WITHOLD FOOD AFTER MIDNIGHT
  • – INFORM PT. ABOUT THROAT IRRITATION

Uric Acid Test

  • URIC ACID TEST IS A 24 HR. URINE COLLECTION TO DIAGNOSE FOR GOUT.

Interventions:

  • Manage Pain- (give analgesics)
  • Administer Antibiotics
  • Increase the patients’s fluid intake (2-3 L/day)

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