onset of symptoms may go unnoticed. The condition is often diagnosed during a
routine physical exam or eye examination, when the patient may be found to have:
(1)
Mild hypertension.
(2)
Pedal edema.
(3)
Vascular changes or hemorrhages in the eyes.
(4)
Abnormal urinalysis.
c. An acute attack may be manifested by:
(1)
Scanty amounts of bloody, cloudy, sediment filled urine.
(2)
Headache.
(3)
Malaise.
(4)
Flank pain.
(5)
Swollen, congested kidneys.
(6)
Edema, facial and extremity.
(7)
Increased blood levels of urea and creatinine.
(8)
Hypertension.
(9)
Pulmonary edema.
(10) Congestive heart failure.
(11) Renal failure.
2-31. NURSING IMPLICATIONS
Nursing care of patients with glomerulonephritis involves observing for
complications and protecting the kidneys from further damage. Nursing personnel
should do the following:
a. Monitor vital signs.
b. Encourage bedrest.
c. Observe strict I & O.
MED918
2-32