Acute glomerulonephritis nursing (poststreptococcal) NCLEX review. Poststreptococcal glomerulonephritis is a type of nephritic syndrome which means there is the leakage of both red blood cells and proteins into the urine due to an inflamed glomerulus.

This type of acute glomerulonephritis tends to present 14 days after a strep infection of the throat or skin and mainly affects the pediatric population from ages 2-10.

Signs and symptoms of glomerulonephritis includes hematuria (tea or cola-colored urine), mild proteinuria, mild edema (specifically in the face and around the eyes), decreased glomerular filtration rate, increased BUN and creatinine, oliguria (low urine output), hypertension.

Nursing interventions for acute glomerulonephritis includes daily weights (this is the earliest signs of fluid retention), monitoring vital signs (especially the blood pressure due to hypertension), implementing a sodium and fluid restriction (potassium restriction may be ordered if urinary output is low), administering diuretics and antihypertensives per MD order etc.

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