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
- Symptoms: hypotension / hypertension
- Symptoms: changes in the pattern of urination, abdominal bloating, diarrhea / constipation
- Signs: change the color of urine
- Symptoms: weight gain, weight loss, nausea, vomiting
- Signs: Changes in skin turgor
- Symptoms: headache, blurred vision.
- Signs: impaired mental status and seizures
- Symptoms: body aches, headache
- Signs: cautious behavior, restless.
- Symptoms: shortness of breath
- Signs: tachypnea, increased frequency, depth.
- 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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