3 Our Lady of Fatima University College of Nursing ACUTE GLOMERULONEPHRITIS A Group Case Study Submitted to: Ms. Feliciano, RN In Partial Fulfillment of the Requirement for the Course NCM102 RLE Pasay City General Hospital Pedia Ward Submitted by: Macatangay Jan Alex Madriaga, Merry Grace Marquez, Carmina Martinez, Ricky Navarro Jr., Noel
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
3
Our Lady of Fatima UniversityCollege of Nursing
ACUTE GLOMERULONEPHRITIS
A Group Case Study
Submitted to:Ms. Feliciano, RN
In Partial Fulfillmentof the Requirement for the Course
NCM102RLE
Pasay City General HospitalPedia Ward
Submitted by:Macatangay Jan Alex
Madriaga, Merry GraceMarquez, Carmina
Martinez, RickyNavarro Jr., Noel
Palompon, Ma. RafaelaPlaza, Jeanine Louise
2Y4-2DJANUARY 2010
3
Table of Contents
Chapter I
-Introduction 4
-Patient’s Profile 5
-Nursing History of Illness 7
Chapter II
-Anatomy and Physiology 9
-Pathophysiology 20
Chapter IV
-Laboratory Examinations 22
Chapter V
-Drug Study 26
Chapter VI
-Nursing Care Plan 147
3
Narratives 148
News/Trends 171
3
INTRODUCTION
Acute Glomerulonephritis (AGN) is an
inflammation of the internal kidney structures
(glomeruli). Glomeruli itself has functions to help
filter waste and fluids from the blood. This disease
leads to proliferative and inflammatory changes
within glomerular structure, as well as, destruction,
inflammation and sclerosis of the glomeruli of both
kidneys.
The common signs and symptoms of
AGN are as follows: Periorbital and facial edema
(more prominent in the morning),decreased
urinary output, cloudy, smoky, and brown-colored
urine, anorexia, pallor, irritability and lethargy,
headaches, abdominal or flank pain, dysuria,
hypertension, proteinuria, azotemia, increased
blood urea nitrogen and creatinine levels and
Antistreptolysin O titer.
3
The group encountered a patient with a
condition as such and their clinical instructor gave
them the opportunity to study the case; hence, this
case study aims to help understand the disease
process of AGN, and to orient one of the
appropriate nursing interventions that could be
offered to patients.
PATIENT’S PROFILE
Patient’s Name: Ajanun, Patrick Lleva
Age: 4 years old
Gender: Male
Address: 668 D. Bautista St. Pasay City
Date of Birth: April 23, 2005
Civil Status: Single
Religion: Roman Catholic
3
Nationality: Filipino
Dialect: Tagalog
Date of Admission:
Time Admitted:
Attending Physician:
Chief Complaint:
Admitting Diagnosis:
Final Diagnosis:
3
NURSING HISTORY OF ILLNESS
A. History of Present Illness
-Present illness started at nine months prior
to admission;the patient had on and off headache
in the temporal area. He was brought to a private
clinic and was diagnosed with sinusitis and was
given phenypropanolamine. After one week prior
to admission the patient had cough without fever
and was given Salbutamol Syrup and nebulization
which afforded temporary relief. After a few hours
he had seizure with loss of sight and was admitted
to Pasay City General Hospital (PCGH).
B. Past Medical History
-Pneumonia
C. Family History of Past Illness
-Positive Maternal Asthma
-Positive PTB grandmother
3
D. Medical Birth History
-full term
-G2P0 via Normal SD
E. Nutritional History
-Breastfed for one month
-Bottle-fed for two months
3
ANATOMY AND PHYSIOLOGY
The Kidneys
The kidneys are two bean shaped
organs of the renal system located on the
posterior wall of the abdomen one on each side of
the vertebral column at the level of the twelfth rib.
The left kidney is slightly higher than the right.
Human kidneys are richly supplied with blood
vessels which give them their reddish brown color.
The kidneys measure about 10cm in length and,
5cm in breadth and about 2.5 cm in thickness.
The kidneys are protected by three
highly specialized layers of protective tissues. The
outer layer consists mainly of connective tissue
which protects the kidneys from trauma and
infection. This layer is often called the renal fascia
or fibrous membrane. The technical name for this
layer is the renal capsule. The next layer (second