1. A disorder of glomeruli characterized by body tissue swelling (edema), high blood pressure, and the presence of red blood cells in the urine.
1.1. NURSING DIAGNOSIS: Severe bilateral back pain with gross hematuria evidenced by tea-colored urine.
1.1.1. RISK/DISPOSING FACTORS
1.1.1.1. Mild lethargy and decreased appetite.
1.1.1.1.1. Temperature of 38°C (lowered with an intake of Paracetamol syrup).
1.1.2. DISEASE PROCESS
1.1.2.1. Sore throat which also subsided without any treatment received.
1.1.2.1.1. Unbearable back pain
1.1.3. SIGNS AND SYMPTOMS
1.1.3.1. Tea-colored urine.
1.1.3.1.1. Costovertebral angle tenderness.
1.1.4. PHYSICAL ASSESSMENT
1.1.4.1. Moderate bilateral costovertebral angle tenderness.
1.1.4.1.1. Moderate facial and periorbital edema.
1.1.5. DIAGNOSTIC FINDINGS
1.1.5.1. Blood pressure: 150/100 mm Hg in both arms and legs.
1.1.5.1.1. CBC: Hemoglobin 8gm/dL
1.1.6. NURSING INTERVENTIONS
1.1.6.1. Activity. Bed rest should be maintained until acute symptoms and gross hematuria disappear.
1.1.6.1.1. Prevent infection. The child must be protected from chilling and contact with people with infections. Monitor intake and output. Fluid intake and urinary output should be carefully monitored and recorded; special attention is needed to keep the intake within prescribed limits.