LESSON PLAN

ON
GLOMERULONEPHRITIS

BY
N. Priyadarshini,
Assistant Professor,
Dept.:- Medical Surgical Nursing,
NRI College of Nursing,
Chinakakani.
 TEACHER PROFILE
NAME OF THE TEACHER : Mrs. N. Priyadarshini

COURSE : M.Sc Nursing II year

SUBJECT : Medical Surgical Nursing - II

UNIT : VII – Glomueral Disorders and Nursing Management

TOPIC : Glomerulonephritis

METHOD OF TEACHING : Lecture Method

GROUP : M.Sc Nursing II year

DATE :

TIME : 1 hour

VENUE : M.Sc Nursing II year classroom

AUDIO-VISUAL AIDS : OHP, blackboard, leaflet, video

 OBJECTIVES
GENERAL OBJECTIVES:

At the end of the teaching class, the students will be able to gain complete knowledge regarding “Glomerulonephritis”
and practice in their clinical area.

SPECIFIC OBJECTIVES:
After completion of the class students will be able to

 Introduce the glomerulonephritis.

 Define glomerulonephritis.
 Enlist the types of glomerulonephritis.
 Explain the Causes of glomerulonephritis.
 Explain the Pathophysiology of glomerulonephritis.
 Enumerate the Clinical manifestations glomerulonephritis.
 Enlist the diagnostic evaluation of glomerulonephritis.
 Explain the management of glomerulonephritis.
 Enlist the complication of glomerulonephritis.
 Explain the nursing management of the glomerulonephritis.
 SPECIFIC TEACHER LEARNER
S.NO. TIME CONTENT EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
       
1 2 Min Introduce the INTRODUCTION: Teacher Students listen
Glomerulonephritis introduces the to the class
topic
It is a term used to refers to several
kidney disease (both kidney)
characterized by inflammation either of
the glomeruli or of the small blood vessels
in the kidney. It occurs due to repeated
episodes of acute
nephrotic syndrome, nephrosclerosis and
hyperlipidemia.

         
2. 3 Min Definition of DEFINITION Teacher Students listen What is meant by
Glomerulonephritis teaches by and take down glomerulonephritis?
Glomerulonephritis is a kidney condition using OHP class
that involves damage /inflammation to the
glomeruli.
 SPECIFIC TEACHER LEARNER
S.NO. TIME CONTENT EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
           
3. 5 Enlist the types of TYPE OF GLOMERULONEPHRITIS Teacher Student listen What is meant by
Mins glomerulonephritis enlists by and take down acute
using notes glomerulonephritits?
Acute glomerulonephritis
blackboard
 Begins suddenly.
 It occurs after 5-21 days of
streptococcal Infection.
Chronic glomerulonephritis
 Develops gradually over several
years.
 It occurs after the acute phase.

     
4 5 mins Explain the causes ETIOLOGY Teacher Students listens What are the
of explains by and take down hereditary diseases
glomerulonephritis using OHP notes that cause
 Streptococcal infection of the
glomerulonephritis?
throat ( strep throat) or skin
(impetigo).
 Hereditary diseases.
 Immune diseases, such as SLE
diabetes.
 High blood pressure.
 SPECIFIC TEACHER LEARNER
S.NO. TIME CONTENT EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
       Vasculitis (inflammation of the blood      
vessels).
 Viruses ( HIV, hepatitis B virus, and
hepatitis C virus).
 Endocarditis (infection of the valves
of the heart)

         
5. 10min Explain the PATHOPHYSIOLOGY Teacher Students listen How
pathophysiology explains by the and take down glomerulonephritis
of Due to any etiological factor help of OHP note is causes?
glomerulonephritis Release of Ag substance into the circulation

Formation of Ab

Formation of Ag and Ab complex in the

glomerulus

Inflammatory response

Proliferation of epithelial cells lining the

glomerulus

Leukocytes infiltration of the glomerulus

Thickening of the glomerular filtration

membrane
S.NO. TIME SPECIFIC CONTENTS TEACHER LEARNER EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
           

Scarring and loss of glomerular filtration

membrane

Decrease GFR and glomerulus plasma flow

Retention of sodium and water

Edema and hypertension

           

6. 7mins Enumerate the CLINICAL MANIFESTATIONS Teacher Students listen What is the color of
clinical enumerates by and takedown urine in
manifestations of  Flank pain. leaflet notes glomerulonephritis?
glomerulonephritis  Foamy urine.
 Cola color or diluted iced tea color
urine.
 Hematuria.
 Oliguria, Dysuria.
 Fatigue to anemia and kidney failure.
 Hypertension.
 Fluid Retention
S.NO. TIME SPECIFIC CONTENT TEACHER LEARNER EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
         
7. 5mins Enlist the DIAGNOSTIC EVALUATION Teacher Students listen What will be
diagnostic teaches by and participate findings in
evaluation of using leaflet in discussion physical
 History.
glomerulonephriti examination?
s  Physical examination.
 Urinalysis.
 Biopsy
 IVP
 Blood Test.
 USG

           
MEDICAL MANAGEMENT Teacher Students listen What is the drug
8. 10mins Explain the
medical  Treatment depends on the cause of the explains by the and take down of choice for
management of disorder, type and severity of the help of the notes glomerulonephriti
glomerulonephriti symptoms. blackboard s?
s
 High B.P. may be hard to control.
Controlling the B.P. usually the most
important part of the treatment.
 Dialysis
 Medication
 Diuretics.
 Immune-suppressants.
 Anti-hypertensive.
S.NO. TIME SPECIFIC CONTENT TEACHER LEARNER EVALUATION
OBJECTIVE ACTIVITY ACTIVITY

           
9. 3 mins Enlist the COMPLICATIONS Teacher enlists Students listen Name any 2
complications of by using and take down complications of
glomerulonephriti blackboard notes glomerulonephriti
 Acute and chronic renal failure.
s s?
 Nephrotic syndrome.
 Hypertension.
 Electrolyte imbalances.
 Pulmonary edema.
 CHF due to fluid overload.

           
10. 10 Explain the NURSING MANAGEMENT Teacher Students what
mins nursing explains by participate in
management of  Assess the onset, duration, location, the help of discussion
glomerulonephrit severity and intensity of pain. OHP
is  Provide comfort devices, quite
environment and calm activities.
 Encourage use of relaxational
technique.
 Provide diversion therapy.
 Administer the analgesic according to
physician order.
S.NO. TIME SPECIFIC CONTENT TEACHER LEARNER EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
           
 Apply hot application on the bladder
to promote the diuresis.
 Elevate the oedematous extremities.
 Administer the diuretics to promote
the diuresis.
 Administer the albumin helps in
shifting the fluid from the ISC to IVC.
CONCLUSION

Glomerulonephritis is a type of kidney disease in which the part of kidneys that helps filter waste and fluids from the
blood is damaged. Early detection and prompt treatment has good prognosis. It can be prevented by taking adequate fluids.

SUMMARY
 Defined glomerulonephritis.
 Enlisted the types of glomerulonephritis.
 Explained the Causes of glomerulonephritis.
 Explained the Pathophysiology of glomerulonephritis.
 Enumerated the Clinical manifestations glomerulonephritis.
 Enlisted the diagnostic evaluation of glomerulonephritis.
 Explained the management of glomerulonephritis.
 Enlisted the complication of glomerulonephritis.
 Explained the nursing management of the glomerulonephritis.
REFERENCES
1. “Burnner and Suddarth’s” text book of medical surgical nursing, twelfth edition, Wolters publication, Page no. 1316-
1317.
2. “Saunders” comprehensive review for the NCLEX RN examination, fifth edition, Elsevier publication, page no. 494-
495.
3. Lewis. Medical Surgical Nursing Assessment and Management of Clinical Problems. ELSEVIER Publications. Page
no:1177-1179