diuretics: furosemide

fluid overload

Other Drugs: Antibiotics may be administered for 7 to 10 days if the etiologlc factor was an infectious agent such as streptococcus. Corticosteroids are controversial and considered by many experts to be of no value. Labetalol may be used for hypertensive encephalopathy and malignant hypertension. Cyclophosphamide may be used for treatment of acute glomerulonephritis due to Wegener granulomatosis.


Focus on decreasing discomfort, reducing complications, and providing patient education. Work with the patient to develop a schedule for daily hygiene that limits fatigue and overexer-tion. Cluster care to provide for rest periods, and assist the patient with relaxation techniques. Assist children with the usual bedtime rituals. Increase activity gradually as symptoms subside.

While the patient is on bedrest, perform active or passive range-of-motion exercises each shift, and assist the patient to a new position every 2 hours. Monitor the patient's skin for breakdown. If the patient is recovering from an infection, prevent secondary infection. Take time to answer the patient's and parents' questions fully. If you note that the family is coping ineffectively with the illness or prognosis, make a referral to a clinical nurse specialist.

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