High-dose glucocorticoid treatment of kidney diseases Nursing.docVIP

 PAGE \* MERGEFORMAT 7 High-dose glucocorticoid treatment of kidney diseases Nursing [Key Words] high-dose 15 patients were treated in our department in recent years, kidney patients, using high-dose hormone therapy, in conjunction with active care, has achieved remarkable clinical results, follow-up year, no recurrence. Now nursing described below: 1 Clinical data The group of 15 patients diagnosed renal disease, before treatment the amount of prednisone and cyclophosphamide were often treated poorly. Including 12 males and 3 females. Aged 15 to 30 years old, and were 3 combined azotemia cases. given a large dose of dexamethasone intravenously. for 3 days to 1 course of treatment, a treatment interval of 1 week each, 4 of which were also intravenous cyclophosphamide. the treatment of the disease should be closely observed changes, given a positive physical and psychological care. therapeutic efficacy : (1) markedly effective: edema subsided, the urine protein disappeared, plasma protein returned to normal, (2) effective: edema reduced, reduced urinary protein, plasma protein increased, (3) is invalid: After three courses of treatment laboratory symptoms and signs No change. This group of 10 cases 15 cases markedly effective in 4 cases, 1 patient. 2 typical cases Female patient, 15 years old, due to swelling of the face and lower limbs 6 months hospitalized. Examination: body temperature 36.8 , pulse 80 beats / min, breathing 20 times / min, blood pressure 14/10kpa, eyelids and lower limbs and severe edema, ascites negative laboratory tests: Hb100g / L, RBC4.5 1012/LWBCl8 109 / L, N0.75, L0.25, urine protein (++++), few red blood cells in urine, urine white blood cells (++), blood cholesterol, 15g / l, albumin 14g / l. admission diagnosis: primary glomerular nephropathy. given prednisone and cyclophosphamide is invalid constant, the use of high-dose intravenous dexamethasone, with a positive and effective care, patients after two courses of