casestudy ecomo agn

8/9/2019 Casestudy Ecomo Agn

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Ecologic Model

Hypothesis:

Acute glomerulonephritis is defined as the sudden onset of hematuria, proteinuria,

and red blood cell casts. This clinical picture is often accompanied by hypertension,

edema, and impaired renal function. Acute glomerulonephritis can be due to a

primary renal or systemic disease.

Acute glomerulonephritis often occurs after a streptococcal infection, such as strep

throat. When this is the cause, the condition is called acute poststreptococcal

glomerulonephritis (APSGN), or postinfectious glomerulonephritis. It can also occur

when certain toxins, such as paints or glues, are inhaled and then excreted through

the urine.

In the case of our client he was diagnosed of AGN. He doesnt have a balanced diet

and is hypertensive. AGN is detected when the urine is examined under the

microscope. Such signs include red blood cells, white blood cells, proteinuria. He

also has an edema and gains weight.

Predisposing factors:

I. The gender of the host is male 18 y/o. Acute glomerulonephritis

predominantly affects males more than with females.

II. On the agent, the hosts diet consists of excessive amounts of sodium since

he always eats uncooked canned goods and eats his meals along with

ketchup. The host also has a bipedal edema because there is fluid retention in

his body. He has a RBC: 3-5/hpf (8-12) which indicates inflammation of the

urinary tract, an Fbs of 3.50mmol/l, WBC of 6.9, hct of 0.38/L, lymphocyte of .

43 which indicates viral infection.

III. On the environment, the contributor to the disease is the physical

environment due to its systemic effect on the body because of the dusts in

their locality due to uncovered projects of maynilad which mainly composed of

sand that could be inhaled for already long periods of time.

Environment

Living conditions

Agent

Bipedal edema, RBC: 3-

5/hpf (8-12), Fbs:

3.50mmol/l, wbc: 6.9,

hct:0.38/L, lymphocyte: .

43 , pus:6-8hpf(1-2),

hypertension, weight gain

Host

Male, 18 y/o

Has a family

history of HPN

and DM


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ANALYSIS:The agent-host-environment model is primarily used in predicting illness rather than

promoting wellness, although identifications of risk factors that result from the

interactions of agent, host and environment are helpful in promoting and

maintaining health. Because of the agent-host-environment factors constantly

interact with others, health is an ever changing state. Health is seen when all three

elements are in balance and while illness is seen when one, two. Or all three

elements are not in balance. (Fundamentals of Nursing by Kozier 2004)

Lifestyle adjustments in diet and compliance with medication regimes are

important factors in determining the outcome for people with AGN.

Conclusion and recommendation:

We therefore conclude that our client is suffering from acute glomerulonephritis

since he was experiencing symptoms like edema, (+) albumin in the urine, high

WBC, low Fbs & Rbc, and a presence of pus which indicates infection. His diet is a

risk factor for he consumes foods that are high in sodium and foods rich in

cholesterol, drinks a lot of soft drinks and waters a day. He also has hypertension,

as we stated earlier, AGN is accompanied by this.

As student nurses we recommend a vital role in caring for patients with acute

glomerulonephritis, which includes assessing clients ability to continue therapy and

providing the patient care management to prevent further complications.

Recommendation:

a.) Limit fluid intake, do not consume more than 48 oz.b.) encourage low salt diet

c.) Encouraged to decrease fluid intake

d.) Encouraged the patient to comply with the medication as ordered by his

physician.

e.) Encouraged to elevate the part where there is edema

Management:

Medical Management

Cases of AGN can be given diuretics, antihypertensive, antiinfective, analgesic and mucolytics as ordered by the doctor


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Nursing Management1. Dietary Management- Nutritional Therapy

Balance diet.2. Exercise

Engage in moderate-level activity on most, and preferably all,days of the week, this can lower or reduced blood pressure.

3. Monitoring Blood pressure4. Health Promotion

Screening, diagnosing, treating, and controlling AGN cansignificantly reduce the risk of developing to furthercomplications.

Assisting the client and the family to understand AGN

Continuous therapy at home, if theres any

casestudy ecomo agn

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