Nursing Diagnosis and Interventions for Glomerulonephritis

Acute glomerulonephritis is also called acute post streptococcal glomerulonephritis is a non-suppurative inflammatory process involving the glomeruli, as a result of beta-haemolytic streptococcus bacterial infection of group A, type nephritogenic elsewhere. This disease often affects children.

Chronic glomerulonephritis is one of the important causes of end-stage renal disease that manifests as chronic renal failure.

Assessment

Activity / Rest

• Symptoms: fatigue, weakness (malaise).
• Symptoms: muscle weakness, loss of tone

Circulation

• Symptoms: hypotension / hypertension

Elimination

• Symptoms: changes in the pattern of urination, abdominal bloating, diarrhea / constipation
• Signs: change the color of urine

Food /fluid

• Symptoms: weight gain, weight loss, nausea, vomiting
• Signs: Changes in skin turgor

Neuro-sensory

• Symptoms: headache, blurred vision.
• Signs: impaired mental status and seizures

Pain / comfort

• Symptoms: body aches, headache
• Signs: cautious behavior, restless.

Breathing

• Symptoms: shortness of breath
• Signs: tachypnea, increased frequency, depth.

Security

• Symptoms: transfungsi reaction
• Signs: fever, pruritus

Nursing Diagnosis and Interventions for Glomerulonephritis

1. Risk for fluid volume deficit r / t excessive fluid loss.

Goal : Increased homeostasis

Outcomes: Shows the input and output approaching a balanced, good skin turgor, moist mucous membranes, peripheral pulse, weight and vital signs stable, electrolytes within normal limits

Intervention:

• Measure the input and output accurately.
• Give fluid permitted during the period of 24 hours.
• Monitor blood pressure.
• Note the signs / symptoms of dehydration.
• Collaboration (laboratory tests, eg, barium).

2. Fatigue r / t anemia

Goal: Accept the fact situation
Outcomes: Report a sense of energy improvements

Intervention:

• Evaluation report fatigue, difficulty completing tasks.
• Assess the ability to participate in desired activities.
• Identification of stress factors / psychological aggravate.
• Collaboration (electrolyte levels include: calcium, magnesium and potassium)

3. Imbalanced Nutrition: Less Than Body Requirements r / t anorexia

Goal: Indicates a stable weight

Outcomes: Maintaining / increasing weight, as indicated by an individual, free edema.

Intervention:

• Assess / record dietary intake.
• Give eat little and often.
• Give the patient a list of foods / liquids are permitted and encouraged involvement in the selection menu.
• Measure body weight each day.
• Collaboration (laboratory tests, eg, BUN, albumin, serum transferrin, sodium and potassium and consult with a nutritionist)