Question

Severe hypertension develops in a child with acute glomerulonephritis. what medication does the nurse anticipate that the practitioner will prescribe?

Answer 1

In the management of severe hypertension caused by acute glomerulonephritis in a child, healthcare providers often prescribe antihypertensive medications, including diuretics, calcium channel blockers, ACE inhibitors, and ARBs, with loop diuretics being a common choice.

Step-by-step explanation:

Management of Hypertension in Acute Glomerulonephritis

When a child develops severe hypertension due to acute glomerulonephritis, healthcare providers often prescribe medications to manage blood pressure. Among these, antihypertensive medications such as diuretics are commonly used. A diuretic such as a loop diuretic works on the loop of Henle in the kidneys, inhibiting the reabsorption of sodium (Na+) and chloride (Cl-), thus increasing urine output and reducing blood pressure.

Other potential medications include calcium channel blockers, angiotensin converting enzyme inhibitors (ACE inhibitors), and angiotensin receptor blockers (ARBs). It's important to note that while ACE inhibitors are effective, they are contraindicated in pregnancy due to the risk of fetal renal failure. Loop diuretics are beneficial as they reduce the fluid overload associated with glomerulonephritis. With acute glomerulonephritis, the goal is to reduce the inflammation and manage symptoms, usually with a combination of medication and sometimes dietary changes.

Answer 2

The complete name of the diagnosis is acute poststreptococcal glomerulonephritis or also abbreviated as (APSGN). If the blood pressure of the child is under good control, he can have a diuresis and can be monitored as outpatients. However, small numbers of patient suffering from this will need to be hospitalized and have an experienced nephrologist to do a biopsy.