Acute Glomerulonephritis (AGN) Nursing Care Plan

Acute Glomerulonephritis1 Acute Glomerulonephritis (AGN) Nursing Care PlanAcute Glomerulonephritis (AGN) is a medical condition which involves the kidney, particularly, the glumeruli. This requires immediate medical and nursing interventions to retard the progress of scarring within the kidney. This scarring is somewhat irreversible which later causes renal failure.

This disease affects 0.02% of the United States’ total population. This is common among boys aged 5-9 years of age. In the Philippines, this is one of the most common pediatric cases among tertiary facilities, or equivalent to 1 in every 17 children.

The occurrence of AGN is commonly associated with prolonged group Acute Glomerulonephritis (AGN) is a medical condition which involves the kidney, particularly, the glumeruli. This requires immediate medical and nursing interventions to retard the progress of scarring within the kidney. This scarring is somewhat irreversible which later causes renal failure., it may be either unattended or mistreated. It may also arise from other types of infection somewhere in the body which causes lodging of microorganism in the kidney via general circulation. The presence of microorganisms in the kidney then stimulates antigen-antibody reaction locally in the kidney. This later causes scarring and gumerular filtration insufficiency and other illnesses like hypertension.

The most common manifesting signs of AGN include hypertension, scanty urine (oliguria), edema of the face and extremities, blood in the urine (hematuria), protein in the urine (proteinuria), and fatigue.

The progress of AGN is very rapid, requiring aggressive medical and nursing management. The primary goal of management focuses on controlling of hypertension through antihypertensive drugs, diuretics, and antibiotics if the infection is still present. Other managements include restrictions to fluid, sodium, and potassium if oliguria is still present or progressing. Another to be restricted is the dietary protein intake in the presence of oliguria and elevated BUN.

Unattended and misdiagnosed cases may be very fatal due to the development of hypertension, CHF, endocarditis, hypertensive encephalopathy, seizures, ESRD, and/or fluid and electrolytes imbalance like hyperkalemia and hyperphosphatemia.

 Acute Glomerulonephritis (AGN) Nursing Care Plan

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About Renniel Paul Raquepo RN, MAN

A Registered Nurse with Master of Arts in Nursing, Major in Medical-Surgical Nursing. Worked as a Clinical Instructor for 5 years.