Goodpasture Syndrome

S&S and Prevention

100

Name 3 side effects that can be seen in a patient with damage to their kidney

Bloody urine, Foamy urine, Burning while urinating

200

What are ways to avoid getting Goodpasture Syndrome?

do not sniff glue, do not siphon gasoline with the mouth

300

Name 3 symptoms correlated with the lungs that can be seen in a patient with Goodpasture syndrome

coughing up blood (hemoptysis), dry cough, shortness of breath

400

Name at least 3 signs and symptoms of Goodpasture syndrome

swelling in the hands and legs, high blood pressure, back pain below the ribs, nausea and vomiting

500

Name the group that has the highest prevalence of Goodpasture syndrome

Maori people of New Zealand

Nursing Diagnoses

100

These interventions: monitoring temp., WBC's, and working with aseptic technique when working with invasive catheters would be seen in which nursing diagnosis?

Risk for infection R/T immunosuppressive therapy and invasive procedures

200

A nursing diagnosis for the following interventions: monitoring I&O, daily weights, assessing for pitting edema, monitoring CVP, and administering IV fluids per order would be?

Fluid overload R/T oliguria and proteinuria

300

A nursing diagnosis for the following interventions; suctioning ET tube PRN to clear secretions, administering methylprednisolone, and treatment with plasmapheresis would be?

Hypoxia R/T accumulation of fluid in the alveoli

400

A nursing diagnosis for the following interventions; prevent blood loss, monitoring RBC and H&H levels, suctioning ET tube when necessary, and administering PRBC's per order would be?

Anemia R/T blood loss from hemoptysis and hematuria

500

A nursing diagnosis for the following interventions; assisting client with setting goals, spending one on one time, encouraging expression of feelings and the nurse acknowledging them would be?

Hopelessness R/T a complicated disease process with a difficult progression of symptoms

Medications and Treatment

100

Immunosuppressive therapy may continue anywhere from (time frame)?

6-12 months

200

This agent may reduce inflammation by reversing increased capillary permeability and suppressing polymorphonuclear neutrophil activity

Pednisone used as an immunosuppressant

300

Goodpasture syndrome requires prompt and aggressive treatment in order to

Fight harmful antibodies, control fluid buildup, control high blood pressure, and to prevent serious lung and kidney damage

400

This drug is the drug of choice once this disease has become severe and has rapidly progressed

Methylprednisolone

500

The goals of pharmacotherapy are to reduce morbidity and to prevent complications, the treatment of choice is?

A combination of plasmapheresis, immunosuppression with glucocorticoids and cytotoxic agents to inhibit further antibody formation

Causes

100

Exposure to these chemicals can increase the risk for Goodpasture syndrome

Hydrocarbon solvents and the weed killer paraquat

200

Exposure to metallic dust, tobacco smoking and use of drugs such as cocaine are factors that?

Increase the risk of Goodpasture syndrome due to the ingestion of poisonous hydrocarbon elements.

300

Goodpasture syndrome runs in families. Some researchers believe it may have a

Genetic component

400

Goodpasture syndrome usually affects young men ages 20 -30 and it mostly occurs among which race

White

500

-Story, C. (2012). Goodpasture syndrome: causes, symptoms, diagnosis. Retrieved from http://www.healthline.com/health/goodpasture-syndrome -Kathuria, P. (2014). Goodpasture syndrome. Retrieved from http://emedicine.medscape.com/article/240556-overview -Goodpasture syndrome. (2013). Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/000142.htm -Goodpasture syndrome. (2014). Retrieved from http://www.webmd.com/a-to-z-guides/goodpasture- syndrome?page=2 -Diffuse alveolar hemorrhage and pulmonary-renal syndrome. (2013). Retrieved from http://www.merckmanuals.com/home/lung_and_airway_disorders/autoimmune_disorders_of_ the_lungs/goodpasture_syndrome.html

Nursing interventions for Goodpasture’s syndrome (2010, October 8) Retrieved from http://nursingfile.com/nursing-care-plan/nursing-interventions/nursing-interventions-for-goodpasture%E2%80%99s-syndrome.html Kathuria, P., Sanghera, P., Stevenson, F., Sharma, S., Lederer, E., Lohr, J., ... Verrelli, M. (2014, December 12). Goodpasture Syndrome (V. Batuman, Ed.). Retrieved March 5, 2015, from http://emedicine.medscape.com/article/240556-overview -Doenges, M., Moorhouse, M. & Murr, A. (2010). Nursing care plans : guidelines for individualizing client care across the life span (8th ed). Philadelphia: F.A. Davis Co. - Kathuria, P., Sanghera, P., Stevenson, F., Sharma, S., Lederer, E., Lohr, J., ... Verrelli, M. (2014, December 12). Goodpasture Syndrome (V. Batuman, Ed.). Retrieved March 5, 2015, from http://emedicine.medscape.com/article/240556-overview

Diagnostics

100

?

?

200

This procedure involves taking a piece of kidney tissue for examination with a microscope. This test can show crescent-shaped changes in the glomeruli and lines of antibodies attached to the GMB

Biopsy

300

A chest xray would show ____________________ if the patient has Goodpasture syndrome?

Abnormalities in the lungs due to alveolar hemorrhage

400

A blood test from a patient with Goodpasture syndrome will show the presence of?

anti-GBM antibodies

500

Urinalysis is one of the tests used to diagnose Goodpasture syndrome. Patches on the dipstick change color when?

Protein and blood are present in the urine (high number of blood cells and high levels of protein in the urine indicate kidney damage)