Glomerulonephritis
First Things First (assess & treat for the following)
- Is nephritic syndrome present?
- Severe acute inflammation injury to glomerulus
- Decreased renal function
- Hematuria with RBC casts
- Proteinuria 1-2 g/24 hr
- Hypertension
- Pyuria
- Fluid retention
- Is rapidly progressive glomerulonephritis (RPGN) present?
- Nephritic syndrome AND
- Doubling of creatinine in < 3 months AND
- Glomerular crescents on renal biopsy
- If untreated, progresses to ESRD in weeks to months
- This is a medical emergency!
- Is nephrotic syndrome present?
- Due to increase in glomerular permeability
- There is SEVERE glomerular injury; not unusual to present w/ decrease in renal function early in disease.
- >3.5 mg protein/24 hrs
- Decreased albumin, edema and hypercholesterolemia
- Are there signs & symptoms of acute renal failure requiring dialysis (see Acute Kidney Injury)?
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Last updated: May 5, 2010
Citation
"Glomerulonephritis." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534165/all/Glomerulonephritis.
Glomerulonephritis. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534165/all/Glomerulonephritis. Accessed November 22, 2024.
Glomerulonephritis. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534165/all/Glomerulonephritis
Glomerulonephritis [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 November 22]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534165/all/Glomerulonephritis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Glomerulonephritis
ID - 534165
Y1 - 2010/05/05/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534165/all/Glomerulonephritis
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine
ER -