PEDS EXAM 3 REVIEW ACUTE GLOMERULONEPHRITIS_NURS 3548 PEDS Exam 3 Review.

Do not have to know Hematology and Immunology for third exam, not final PEDS EXAM 3 REVIEW ACUTE GLOMERULONEPHRITIS () Pathology Acute poststreptococcal glomerulonephritis = most common noninfectious renal disease ↓ filter = ↑Na = edema d/t fluid build-up. Remember: where salt goes, fluid goes ↓ filter = H20 is retained Cause antecedent infection – pneumococcal, streptococcal, viral infections Risk Factors School-age children Onset: 6 – 8 years old Assessment / S&S Edema - Periorbital, gonadal, abdominal, or lower extremity edema - Initial and in the mornings: puffiness of face/ periorbital edema - During the day: will spread to extremities, genitalia, and abdomen - Edema is only moderate – may not be noticed HTN & Circulatory congestion - Mild to moderate elevation Urine: - Oliguria - Proteinuria - Hematuria/ tea or cola colored Loss of appetite - Anorexia Infants: pale, irritable, lethargic Older children: headaches, abdominal discomfort, dysuria