NURS 307: Fluid Electrolyte Imbalance, Renal and Genitourunary Dysfunction, Cerebral Dysfunction, & CNS Malformations (Week 5)

Page |1

NURS 307: Fluid Electrolyte Imbalance, Renal and Genitourunary Dysfunction,
Cerebral Dysfunction, & CNS Malformations (Week 5)




ABGs - ANSWER


Acid Base Imbalances - ANSWER *Acidosis*
-too much acid


*Respiratory acidosis*
-too much carbonic acid


*Metabolic acidosis*
-too much metabolic acid


*Alkalosis*
-too little acid


*Respiratory alkalosis*
-too little carbonic acid

, Page |2


*Metabolic acidosis*
-too little metabolic acid


Acute Glomerulonephritis - ANSWER *Causes*


•*Most often post infectious GABHS*
-Group A Beta Hemolitic Strep


•Staph
•Pneumococcus
•Coxsackie virus


•Usually due to tonsillitis-> recovers-> develops APIGN/APSGN


Acute Poststreptococcal Glomerulonephritis
or
Acute Post-infectious GN


*Clinical Manifesations*

, Page |3




•Glomerular damage


Edema (periorbital AND dependent)
-does not go away


Flank/abdominal pain,


irritability, fever,


hematuria
Proteinuria


Pulmonary congestion,


Hypertension


N/V, oligura

, Page |4


Acute Glomerulonephritis (*Management & Assessments*) -
ANSWER *Labs*
•BUN
•UA
•Creatinine
•Protein


•WBC
•ESR
•ASO (antistreptolysin)
•H & H
•Titer


•Throat culture
•Xray


*Nursing Actions*


•Daily weights