Management of Chronic Glomerulonephritis

Glomerulonephritis is a term used to refer to several renal diseases (usually affecting both kidneys).

Symptoms

Common symptoms of glomerulonephritis are:
  • Blood in the urine (dark, rust-colored, or brown urine)
  • Foamy urine (due to excess protein in the urine)
  • Swelling (edema) of the face, eyes, ankles, feet, legs, or abdomen
Symptoms may also include the following:
  • Abdominal pain
  • Blood in the vomit or stools
  • Cough and shortness of breath
  • Diarrhea
  • Excessive urination
  • Fever
  • General ill feeling, fatigue, and loss of appetite
  • Joint or muscle aches
  • Nosebleed
The symptoms of chronic kidney disease may develop over time.

Many conditions cause or increase the risk for glomerulonephritis, including:
  • Amyloidosis
  • Anti-glomerular basement membrane antibody disease
  • Blood vessel diseases, such as vasculitis or polyarteritis
  • Focal segmental glomerulosclerosis
  • Goodpasture syndrome
  • Heavy use of pain relievers, especially NSAIDs
  • Henoch-Schonlein purpura
  • IgA nephropathy
  • Lupus nephritis
  • Membranoproliferative GN
Management of Chronic Glomerulonephritis
  1. Medical Management :
    • Treatment is aimed at clinical symptoms and electrolyte disturbances.
    • Treatment with daily activities within the limits of the ability of the patient.
    • Supervision hipertenasi -> antihypertensives.
    • Giving antibiotics for infections.
    • Dialysis repeatedly to extend the life expectancy of patients.
  2. Nursing Management :
    • Adjusted to the patient's condition.
    • Patients are encouraged regularly to keep control of the experts.
    • Program strict diet but adequate nutritional intake.
    • Explanation to the patient about pambatasan activity within its capabilities.
    • Prompts the control to the doctor must be obeyed to prevent continued to nephrotic syndrome or chronic renal failure.

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