00:01
Okay,
let's talk about infections.
00:03
Now any pediatric
nurses out there?
Okay, you're definitely going
to want to pay attention to this
because one of the infections
that can cause
glomerulonephritis is
streptococcus.
00:15
So you want to watch your
petite pediatric patients
very very closely,
because post streptococcal
glomerulonephritis is a real option
you want to have to
educate your patients
So they're aware that this
could be a possibility
because you would want them
notify their health care provider
as soon as possible and they
start seeing the symptoms.
00:36
Now, it develops usually
about one to two weeks
after a streptococcal infection.
00:41
So if I'm taking
care of a patient
and they have streptococcus,
I want to make sure
they understand
Hey if you notice any changes in
your urine output, in the color
that you let us know right away
because we want
to be on the alert
for post streptococcal
glomerulonephritis.
00:59
So how long does
it take to develop?
Yeah about one to two weeks.
01:03
So you want to be
sure to educate
your patients about that.
01:06
So how does this
whole thing work?
Well antibodies to the
strep antigen develop
in deposit in the glomerulus.
01:13
So think why that
would be a problem.
01:15
Remember the glomerulus tangle
of these little tiny capillaries
inside Bowman's capsule
if these antibodies are
depositing themselves in there,
It's going to clog everything up
takes about one to two
weeks for this to happen,
but that's what you want
to be on the alert for.
01:32
Now, the other one
will be a lot rarer
for you to see but
still a possibility.
01:37
We've talked about
streptococcal infections.
01:39
This is like endocarditis
bacterial endocarditis
is an infection of one
or more of the heart valve.
01:46
So endocarditis you've got
inflammation in a heart valve.
01:51
Now, there's an increased
risk for endocarditis
for people who have a
heart defect especially
if they have a heart
valve with damaged
or they've got some type
of artificial heart valve.
02:00
So keep that in mind
if someone has endocarditis,
that's a bacterial endocarditis,
it's an infection of one or
more of the heart valves.
02:10
When those guys get inflamed.
02:12
They're not going to be able
to manage blood flow
like we need them to
Remember,
what a supposed to go in
and out all in one direction
not squishing back
and forth both ways.
02:23
So when you have an
infected valve you have an
ineffective valve.
02:27
So someone who has endocarditis
also has an increase risk
for glomerulonephritis.
02:34
Now, let's talk about
some viral beasties.
02:36
We're still in infections.
02:37
We talked about
post streptococcal,
we talked about endocarditis
that was bacterial.
02:43
Now we're looking at viral.
02:46
Sadly these are some bad dudes, right?
Viruses are nasty.
02:50
They're the ones that come
in take over your cells
and make your own cells
make copies of the bad viruses.
02:56
Some of the ones that you want
to be on the lookout for would be
HIV human
immunodeficiency virus,
Hepatitis B
and hepatitis C.
03:06
So these are infections
where the patient can also
develop glomerulonephritis.