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Post-streptococcal Glomerulonephritis

WHAT YOU SHOULD KNOW:

Poststreptococcal glomerulonephritis (PSGN) is an inflammation of your child's kidneys. It can cause your child's kidneys to not filter 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.

AFTER YOU LEAVE:

Call 911 for any of the following:

  • You cannot wake your child.
  • Your child has a seizure.
  • Your child is suddenly short of breath or unable to speak in a complete sentence.
  • Your child is breathing fast and his heart is beating faster than normal.

Seek care immediately if:

  • Your child is restless or irritable.
  • Your child has severe vomiting.

Contact your child's healthcare provider if:

  • Your child's face, legs, or feet continue to swell, even with treatment.
  • Your child's blood pressure is not within the range his healthcare provider said it should be.
  • Your child's symptoms last longer than 2 weeks.
  • Your child has a fever.
  • You have questions or concerns about your child's condition or care.

Medicines:

Your child may need any of the following:

  • Diuretics will be given to decrease swelling by removing extra fluid in your child's body.
  • Blood pressure medicine is given to lower your child's blood pressure.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask if NSAIDs are safe for you. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
  • Give your child's medicine as directed. Call your child's healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

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.

© 2015 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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