Search This Blog

Nursing Diagnosis and Nursing Intervention for Nephrotic Syndrome

Nursing Diagnosis for Nephrotic Syndrome

Risk for Fluid Overload related to retained sodium and water

Goal: The volume of body fluid balance

Expected outcomes:
  • Stable weight
  • Normal vital signs
  • No edema
Nursing Intervention for Nephrotic Syndrome
  • Monitor intake and output, and measuring body weight every day
  • Monitor blood pressure
  • Assessing respiratory status including breath sounds
  • Giving deuretik, according to program
  • Measure and record the abdominal girth

Nursing Diagnosis for Nephrotic Syndrome

Risk for Deficient Fluid Volume (intravascular) related to proteinuria, edema and diuretic effects

Goal: Body fluid balance

Expected outcomes:
  • Oral mucosa moist
  • Stable vital signs

Nursing Intervention for Nephrotic Syndrome
  • Monitor intake and output (in children less than 1ml/kg/jam)
  • Monitor vital signs
  • Monitor laboratory tests (electrolytes)
  • Assess the oral mucous membranes and elasticity of skin turgor
  • Assess capilarry Refill


Nursing Diagnosis and Nursing Intervention for Nephrotic Syndrome

Nursing Care Plan for Nephrotic Syndrome

READ MORE - Nursing Diagnosis and Nursing Intervention for Nephrotic Syndrome

Nursing Care Plan for Nephrotic Syndrome

Nursing Care Plan for Nephrotic Syndrome

Definition

Nephrotic Syndrome is a disease with symptoms of edema, proteinuria, hypoalbuminemia and hypercholesterolemia. Sometimes there is hematuria, hypertension and reduced kidney function.

This disease occurs suddenly, especially in children. Usually in the form of oliguria with dark-colored urine, or urine is thick due to heavy proteinuria.

There are many specific Causes of nephrotic syndrome. These include kidney diseases Such as minimal-change nephropathy, focal glomerulosclerosis, and membranous nephropathy. Nephrotic syndrome can also result from systemic diseases That affect other organs in Addition to the kidneys, Such as diabetes, amyloidosis, and lupus erythematosus.

Nephrotic Syndrome Therapeutic Management
  • Diets high in protein, low-sodium diet if severe edema
  • Sodium restriction if the child hypertension
  • Antibiotics to prevent infection
  • Diuretic therapy based on the program
  • Albumin therapy if the child's intake and urine output is less
  • Prednisone therapy with a dose of 2 mg / kg / day based on the program

Nephrotic Syndrome Nursing Care Plan

Nursing Care Plan for Nephrotic Syndrome


Nursing Assessment for Nephrotic Syndrome
  • The identity of the child: name, age, address, education level, etc..

  • Past medical history: previous ever hurt a child like this?

  • Birth history, growth, disease that is often experienced by children, immunizations, previous hospitalization, and medication allergies.

  • The pattern of daily habits: eating and drinking, hygiene patterns, the pattern of bed rest, activity or play, and elimination patterns.

  • General Assessment: vital signs, weight, height, head circumference, chest circumference (associated with edema).

  • Cardiovascular system: the rhythm and quality of pulse, heart sounds, presence or absence of cyanosis, diaphoresis.

  • Respiratory System: examine the pattern of breathing, wheezing or crackles are there, chest retractions, nasal flaring.

  • Nervous system: level of consciousness, behavior (mood, intellectual ability, thought processes), what in accordance with growth and development? Assess sensory function, the function of movement and pupillary function.

  • Gastrointestinal System: auscultation bowel sounds, palpation of hepatomegaly / splenomegaly, is there any nausea, vomiting. Assess bowel habits.

  • Urinary system: review of the frequency of urination, color and amount.

Nursing Care Plan for Nephrotic Syndrome

Nursing Diagnosis and Nursing Intervention for Nephrotic Syndrome
READ MORE - Nursing Care Plan for Nephrotic Syndrome

Nurses Role in Drug Addiction Rehabilitation

Nurses Role in Drug Addiction Rehabilitation Therapy

In the treatment of drug dependence needs to be done until the level of rehabilitation. The reason, besides causing physical and mental health disorders, drug dependence also gives social impact for the patient, family environment and surrounding community.

Rehabilitation is essentially intended to make the patient can perform normal actions, may continue their education according to his ability, to go to work according to their talents and interests, and most importantly, can adjust to living with family environment and surrounding community.

One thing that many expected after following the rehabilitation, the patient can be his religion as well. That is why many rehabilitation centers established under the belief / religion.

Drug Addiction Rehabilitation Therapy, includes several things:
  • Social Rehabilitation : includes all efforts that aim to guide and enhance a sense of awareness and social responsibility for families and communities.

  • Educational Rehabilitation : aims to maintain and improve their knowledge and see to it that patients can take part in education again, if possible, give guidance in choosing a school that suits his talents and intelligence capabilities.

  • Vocational Rehabilitation : the work aims to determine the ability of patients and how to overcome barriers or obstacles to placement in suitable work. Also provide the skills that have not owned by the patient in order to benefit patients for a living.

  • Religious Life Rehabilitation : aims to raise awareness of the patient will be the place of humanity in the midst of living. And worship in accordance with his religion.
READ MORE - Nurses Role in Drug Addiction Rehabilitation

Followers

 
 
 

Nanda Books

Label

Label

Labels