Central Objective: At the end of 1 hour of lecture-discussion, the learners shall gain sufficient knowledge and develop adequate skills in the care of clients with Acute Glomerulonephritis.

Specific Objectives Contents Time Allotted

Teaching Learning Activities

Evaluation

At the end of the lecture-discussion the learners shall:

a. Define Acute Glomerulonephritis briefly,

b. state the causes of acute glomerulonephritis and give examples correctly,

I. IntroductionAcute glomerulobnephritis is the most common in boys ages 3 to 7, but it can occur at any age. Up to 95% of children and 70% of adults recover fully; the rest, especially elderly patients, may progress to chronic renal failure within months.

II. Definition of Acute GlomerulonephritisAcute glomerulonephritis refers to inflammation of the kidneys caused by an antigen-antibody reaction following an infection in some part of the body. Acute glomerulonephritis is predominantly a disease of childhood and is the most common type of nephritis in children.

III. Causes

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Lecture discussion

Group discussion

At the end of the lecture-discussion the learners have:

c. discuss assessment of acute glomerulonephritis (signs and symptoms; diagnostic examinations; complications) satisfactorily,

A. Infections a. Post-streptococcal glomerulonephritisb. Bacterial endocarditisc. Viral infections

B. Immune diseasesa. Lupusb. Goodpasture's syndromec. IgA nephropathy

C. Vasculitis a. Polyarteritisb. Wegener's granulomatosis

D. Conditions that cause scarring to the glomerulia. High blood pressureb. Diabetic kidney diseasec. Focal segmental glomerulosclerosis

IV. Assessment A. Signs and Symptoms

1. Oliguria2. Coffee colored urine3. Shortness of breath4. Orthopnea5. Periorbital edema6. Mild to severe hypertension7. Bibasilar crackles

8mins Group discussion

d. explain the nursing diagnosis comprehensively,

8. Nausea, vomiting9. Malaise10. Arthralgia

B. Diagnostic Examinations1. BUN and Creatinine2. Serum protein3. Hemoglobin4. Urinalysis5. KUB (kidney, ureter, bladder) radiography6. Renal biopsy

C. Complicationsa. Hypertensive encelopathyb. Congestive Heart Failurec. Uremiad. Anemia

V. Diagnosis 1. Excess fluid volume may be related to failure of regulatory

mechanism (inflammation of glomerular membrane inhibiting filtration), possibly evidenced by weight gain, edema/anasarca, intake greater than output, blood pressure changes.

2. Acute pain may be related to effects of circulating toxins and edema distention of renal capsule, possibly evidenced by verbal reports, guarding/distraction behaviors, and autonomic responses (changes in vital signs).

3. Imbalanced nutrition: less than body requirements may be related to anorexia and dietary restrictions, possibly evidenced by aversion to eating, reported altered taste, weight loss, and decreased intake.

5mins Socializeddiscussion

e. explain and give examples during the planning of care of acute glomerulonephritis correctly,

4. Deficient diversional activity may be related to treatment modality/restrictions, fatigue, and malaise, possibly evidenced by statements of boredom, restlessness, and irritability.

5. Risk for disproportionate growth: risk factors may include infection, malnutrition, and chronic illness.

VI. Planning A. Promoting Healing and Preventing Disease ComplicationB. Observing and Recording Disease ProgressC. Reducing HypertensionD. Providing Appropriate Nursing Care to the Child with Disease

ComplicationsE. Providing Emotional Support to the child and His Family During

HospitalizationF. Preparing the Child and His Parents for Discharge

VII. InterventionsA. Nursing interventions

1. Prevention of complications2. Promotion of kidney function

B. Managementa. Medications

1. Diuretics2. Angiotensin-converting enzyme (ACE) inhibitors3. Angiotensin II receptor agonists4. Immunosuppressants

b. Dietary restrictionsC. Therapies

12mins Group discussion

f. discuss and give examples of interventions for acute glomerulonephritis comprehensively,

g. discuss the expected outcomes for acute glomerulonephritis appropriately,

1. Dialysis2. Kidney transplant

VIII. EvaluationA. Expected Outcomes

1. Absence of life threatening complications.2. Demonstrates increasing urinary output.3. Adheres to the prescribed fluid restriction; maintains weight

within acceptable level for condition.4. Copes with discomfort; engages in divisional activities in

accordance with age.5. Eats prescribed diet.6. Adheres to treatment protocol; parents gaining

understanding of child’s illness as evidenced by their questions, and participation in child’s care.

IX. Open forum

X. EvaluationA. Oral

10mins Lecture discussion

Socializeddiscussion

h. evaluate the discussion by asking relevant questions objectively,

i. evaluate the presentation objectively

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Silliman UniversityCollege of NursingDumaguete Ciity

Course Title: Nursing Care Management (NCM) 104

Concept: Acute Glomerulonephritis

Placement: Level IV

2nd Semester, 2010

Time Allotment: 1 hour

Topic Description: This concept deals on Acute Glomerulonephritis. It includes causes; assessment, diagnosis, planning, intervention, and evaluation of Acute Glomerulonephritis.

Vision:

As a leading Christian Institution committed to total human development for the well- being of society and environment.

Mission:

1. Infuse into the academic learning the Christian faith anchored on the gospel of Jesus Christ; provide an environment where Christian fellowship and relationship can be nurtured and promoted.

2. Provide opportunities for growth and excellence in every dimension of the University life in order to strengthen character, competence and faith.

3. Instill in all members of the university community an enlightened social consciousness and a deep sense of justice and compassion.

4. Promoted unity among peoples and contribute to national development.

Silliman UniversityCollege of NursingDumaguete Ciity

Submited by:

Chantilly C. Pasion

Submitted to:

Ms. Charmaine Joy V. Quilnet, RN

Date submitted:

January 6, 2010

Bibliography

A. Books:

Black, Joyce M. & Jane H. Hawks. (2005). Medical-Surgical Nursing: Clinical Management for Positive Outcomes, 7th Ed. Philadelphia: W.B. Saunders.

Copstead, L. & Banasik, J. (2005). Pathophysiology. 3rd ed. PA; Elsevier Saunders

Doenges, Marilyn E. et. Al (2004). Nurses Pocket Guide. 5th ed Philadelphia: F.A. Davis Company

Linton, A. & Maebius, N. (2003). Introduction to Medical- Surgical nursing. 3rd ed. PA: Saunders

Ignatavicius, et al. (2006) Medical- Surgical Nursing. 6th ed Philadelphia: Elsevier Asia.

Smeltzer, Suzanne C.et al.(2001). Medical-Surgical Nursing, 10th Edition. Philadelphia: Lippincott Williams and Wilkins.

B. Internet: Acute Glomerulonephritis (Available online) Cited: January 5, 2010 @ 4:15 pm www.mayoclinic.com/health/glomerulonephritis/DS00503/DS... www.mayoclinic.com/health/glomerulonephritis/DS00503/DSECTION=causes · Cached

Acute Glomerulonephritis (Available online) Cited: January 5, 2010 @ 4:28 pm en.wikipedia.org/wiki/Glomerulonephritis

Acute Glomerulonephritis (Available online) Cited: January 5, 2010 @ 4:40 pm www.nephrologychannel.com/agn/index.shtml · Cached

Acute Glomerulonephritis (Available online) Cited: January 5, 2010 @ 5:30 pm healthline.com