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Post-streptococcal Glomerulonephritis, Ambulatory Care

WHAT YOU NEED TO KNOW:

Post-streptococcal glomerulonephritis

(PSGN) is an inflammation of your child's kidneys. It can prevent your child's kidneys from filtering waste and extra fluid. This can lead to high blood pressure and become harmful to your child. PSGN usually follows a streptococcal infection such as strep throat or impetigo. PSGN is common in children 5 to 12 years old. Symptoms occur suddenly about 2 to 3 weeks after your child's infection.

Common symptoms include the following:

  • Decreased urination or tea-colored urine
  • Swelling in his face, legs, or feet
  • Fatigue or joint pain
  • Fever or rash
  • Headache

Call 911 for any of the following:

  • Being unable to wake your child
  • Seizure
  • Sudden shortness of breath
  • Fast breathing or fast heartbeat

Seek immediate care for any of the following:

  • Restlessness or irritability
  • Severe vomiting

Treatment for PSGN

may include medicine to decrease the fluid causing the swelling. Your child may also need medicine to decrease pain or blood pressure. Your child may need dialysis if he has severe kidney failure.

Help your child rest as directed:

Rest is important for your child's recovery. Allow him to slowly return to normal activities and do more as he feels stronger.

Follow your child's nutrition plan as directed:

You may need to limit the sodium (salt) and potassium that your child eats. You may also need to limit the amount of liquid he drinks. This will help decrease fluid buildup in his body.

Follow up with your child's healthcare provider as directed:

Your child will need to return for urine and blood tests to check his kidney function. You will need to monitor and record your child's blood pressure. You will also need to monitor and record how often he urinates and the color of the urine. Bring the records to all your child's follow-up visits. Write down your questions and so you remember to ask them during the visits.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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