Clinical Management of Glomerular Diseases

Nurs Clin North Am. 2018 Dec;53(4):551-567. doi: 10.1016/j.cnur.2018.07.006. Epub 2018 Oct 11.

Abstract

Progressive glomerular damage can occur as a result of various etiologic factors including infections, medications, diseases, and autoimmune disorders. This article discusses the clinical management of the leading conditions associated with glomerular disease, including glomerulosclerosis, diabetic nephropathy, focal segmental glomerulosclerosis, and membranous nephropathy. Glomerular damage and disease progression may lead to end stage renal disease. Clinical management is individualized, as based on causative factors and clinical manifestations, with the overall goal of limiting glomerular damage. Collaborative and comprehensive care is imperative to improving patient outcomes.

Keywords: Diabetic nephropathy; Focal segmental glomerulosclerosis; Glomerulosclerosis; Membranous nephropathy; Nephrotic syndrome.

Publication types

  • Review

MeSH terms

  • Diabetic Nephropathies / nursing
  • Diabetic Nephropathies / therapy*
  • Glomerulosclerosis, Focal Segmental / nursing
  • Glomerulosclerosis, Focal Segmental / therapy*
  • Humans
  • Kidney Failure, Chronic / nursing
  • Kidney Failure, Chronic / therapy*