Poststreptococcal Infections: Summary Chart (Nursing)

00:00 Now we've got a great summary chart for you here.

00:03 These are some key things for you to keep in mind and make sure your followed through with us on talking about post streptococcal glomerulonephritis.

00:11 So loss of renal function and most often completely resolves if it's just acutely after this type of infection.

00:18 Causes? Well, you know that one usually one to two weeks after a strep infection, two examples of strep infection were strep throat or impetigo.

00:29 Now the clinical symptoms, these are symptoms not of the strep or not of the impetigo.

00:36 These symptoms are all related to damage to the kidneys.

00:39 They've taken a bit of a hit.

00:41 Now remember it will often resolved not talking about lifelong damages is just an acute episode but they'll have proteinuria that means protein in their urine that's never a sign.

00:53 That's a good one. Right? That means that for some reason those glomerulus are leaking protein when we don't them too, and we end up with extra protein in the urine.

01:03 Hematuria is blood in the urine also not a great sign for your kidneys, usually a sign of infection and other things going on.

01:11 The patient might even develop some hypertension because glomerulonephritis patients who have glomerulonephritis that can also cause their blood pressure to go up.

01:20 Remember those kidneys blood isn't really flowing through it as well as it normally does because those glomerulus are all kind of clogged up with those antibodies.

01:29 So that can raise their blood pressure for a little bit.

01:32 Now they also might have an elevated BUN and creatinine and their GFR, their glomerular filtration rate will also be decreased.

01:43 Anytime you get a big list of these things.

01:45 It's so hard to try to memorize them and you try to make these weird.

01:48 No, all you need to do is think you've already learned about how the kidney works.

01:53 You know that when a kidney is healthy that protein needs to stay in my bloodstream, so when it's coming out of my urine, not a good sign, leaky capillaries.

02:02 So signs that in my urine that things are not going well protein, blood if their blood pressures up just look at how you can think about the function of the kidney and when the glomerulus is inflamed as in glomerulonephritis those are going to be the examples that you see the more you think about the function of the organ, You don't have to straight-up memorize clinical symptoms.

02:26 They should make sense to you because you understand why why there's protein in the urine, why there's blood in the urine and why the patient has hypertension.

02:35 Now how do we take care of it? Really it's just supportive and based on what symptoms they have.

02:39 If the hyper tension is really high will likely treat that but that's not often a common response.

02:44 That's a pretty severe case, but we'll just kind of watch them closely.

02:48 Make sure the kidneys don't get any worse and they're still putting out urine and things are going fairly well until they can recover from this.

02:56 So medications we might consider for remember we're talking about acute post streptococcal so it's after strep glomerulonephritis will consider antibiotics if they still have the infection, Whoa, is that a mistake on our slide? No, we put it in there because we want to help you compare how different types of glomerulonephritis are treated.

03:19 So sometimes we consider corticosteroids or even cytotoxic agents, but they're not helpful in acute post streptococcal the glomerularnephritis.

03:29 Get why we call it APSG.

03:31 Yeah.

03:31 So in this case, we don't consider corticosteroids or cytotoxic agents and I've mentioned before you might need some blood pressure meds if it's significantly elevated, but likely not.

03:43 So here's a great study tip.

03:45 You've got this in a chart form from loss of function causes, clinical symptoms treatment and medications.

03:52 This is an excellent way for you to compare treatment plans as we continue through the video series.

03:57 So hang on to this slide.

03:58 It's a great summary slide for you.