Nursing Care Plan for Glomerulonephritis

Nursing Care Plan for GlomerulonephritisGlomerulonephritis is a type of kidney disease in which the part of your kidneys that helps filter waste and fluids from the blood is damaged.


Symptoms of Glomerulonephritis

Common symptoms of glomerulonephritis are:

• Blood in the urine (dark, rust-colored, or brown urine)
• Foamy urine
• Swelling (edema) of the face, eyes, ankles, feet, legs, or abdomen

Symptoms that may also appear include the following:

• Abdominal pain
• Cough
• Diarrhea
• General ill feeling
• Fever
• Joint aches
• Muscle aches
• Loss of appetite
• Shortness of breath

Nursing Assessment for Glomerulonephritis

1. Genitourinary
   
   • Turbid urine
   • Proteinuria
   • Decrease in urine output
   • Haematuria
2. Cardiovascular
   
   • Hypertension
3. Neurological
   
   • Lethargy
   • Irritability
   • Seizures
4. Gastrointestinal
   
   • Anorexia
   • Vomitus
   • Diarrhea
5. Hematology
   
   • Anemia
   • Azotemia
   • Hyperkalaemia
6. Integumentary
   
   • Pale
   • Edema

Nursing Diagnosis for Glomerulonephritis

1. Ineffective Tissue Perfusion related to water retention and hypernatremia
2. Risk for Imbalanced Fluid Volume related to oliguric
3. Risk for Imbalanced Nutrition: Less than Body Requirements related to anorexia.
4. Activity Intolerance related to fatigue.
5. Risk for Disturbed Sleep Pattern related to immobilization and edema.

Nursing Intervention for Glomerulonephritis
Ineffective Tissue Perfusion related to water retention and hypernatremia

Expected Results :
Clients will demonstrate normal cerebral tissue perfusion is marked with blood pressure within normal limits, decreased water retention, no signs of hypernatremia.

1. Blood Pressure Monitor and record every 1-2 hours per day during the acute phase.
   Rational: to detect early symptoms of blood pressure changes and determine further intervention.
2. Keep the airway hygiene, prepare suction
   Rational: n happen due to lack of oxygen to the brain perfusion.
3. Set of anti-hypertension, monitor client reactions.
   Rationale: Anti-Hypertension can be due to uncontrolled hypertension can cause kidney damage.
4. Monitor the status of the volume of liquid every 1-2 hours, monitor urine output (N: 1-2 ml / kg / hr).
   Rational: The monitor is very necessary because the expansion of the volume of fluid can cause blood pressure to rise.
5. Assess neurological status (level of consciousness, reflexes, pupil response) every 8 hours.
   Rational: To detect early changes in neurological status, facilitate subsequent intervention.
6. Set of diuretics: Esidriks, Lasix appropriate orders.
   Rational: Diuretic can increase the excretion of fluids.