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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)

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