Primary Nursing Diagnosis

Fluid volume excess related to glomerular inflammation and decreased renal filtration

OUTCOMES. Fluid balance; Hydration; Nutrition management; Nutrition therapy; Knowledge: Treatment regime

INTERVENTIONS. Fluid/electrolyte management; Fluid monitoring; Medication administration


Most patients with AGN recover spontaneously. During the acute phase, when urine is grossly hematuric and blood pressure is elevated, the patient is placed on bedrest and symptoms are managed pharmacologically. A dietary consultation is necessary to implement dietary restrictions that can manage increased blood pressure, decreased urine output, and the presence of nitrogenous products in the urine. Usually, sodium and fluid restriction is instituted to manage hypertension and edema. Depending on the course of their disease, some patients also need potassium and protein restrictions. If the patient is on fluid restriction,

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work with the patient and family to devise a schedule of fluid intake that maximizes patient preference and comfort.

Pharmacologic Highlights

Medication or

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