Nursing care of patients with primary nephrotic syndrome

Nursing care of patients with primary nephrotic syndrome


Nephrotic syndrome refers to a group of syndromes characterized by large amounts of proteinuria (3.5g/24 hours), low plasma albumin (30g/L), hyperlipidemia, and edema. Large amounts of proteinuria and hypoproteinemia are necessary for diagnosis and may also be accompanied by hematuria and / or hypertension and / or persistent renal impairment. Nephrotic syndrome is caused by a variety of glomerular diseases and is pided into two major groups, primary and secondary. Therefore, it is necessary to exclude secondary nephrotic syndrome (secondary to lupus nephritis, diabetic nephropathy and Henoch Schonlein purpura nephritis) secondary to all other diseases of the body, which can be diagnosed as primary nephrotic syndrome. Then what are the nursing measures for primary nephrotic syndrome?

1. rest: severe children should stay in bed. Regular children get up regularly every day, minor activities, which is conducive to the prevention of thrombosis, not excessive fatigue, when the patient is completely relieved, you can go to school.

2. diet: may enter the low salt diet, if the dropsy is more serious, the urine is few or does not have the urine, the patient should enter the salt free diet. After the appetite starts normal, starts the high protein diet, provides the high grade protein more, corrects the hypoproteinemia as soon as possible.

3. strengthen basic care: the focus is skin care. Venipuncture must be chosen vein, requiring a one-time puncture success, in order to reduce skin infections. Severe edema must be less intramuscular injection, so as not to cause injection site infection, or cause deep abscess.

 

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