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

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