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학습 자료 둘러보기 →In acute post-streptococcal glomerulonephritis (APSGN), immune complex deposition reduces GFR, causing sodium and water retention. This directly leads to volume overload, manifesting as hypertension and edema. A blood pressure of 160/95 mmHg indicates significant circulatory stress.
The highest priority is to monitor blood pressure and assess for hypertensive crisis. Uncontrolled hypertension can precipitate life-threatening complications like hypertensive encephalopathy (seizures, altered mental status) and acute pulmonary edema due to the activation of the alternate complement pathway.
Do not encourage increased fluid intake, as this will worsen volume overload. Diuretic administration requires a provider order and follows initial assessment. Dialysis is not a first-line intervention but reserved for severe, refractory complications.
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