Nursing care of patients with nephrotic syndrome.doc

Nursing care of patients with nephrotic syndrome [Keywords:] nephrotic syndrome nursing Nephrotic syndrome (nephrotic syndrome, Ns) is a clinical syndrome caused by a variety of reasons, the basic pathological mechanisms of glomerular permeability changes resulted in substantial loss of protein from the urine, and its performance characteristics are: proteinuria ( urine protein greater than 3.5g / d), low albumin hyperlipidemia (plasma albumin less than 30g / L), edema and hyperlipidemia. [Nursing assessment] (A) health history Ask whether the patient precursor infection, such as tonsillitis, pharyngitis, etc., ask the patient whether the kidney disease history, the history of the patients without other diseases, such as systemic lupus erythematosus, purpura, nodules nodosa, diabetes and other to understand the patient’s medical history, such as whether to take drugs such as penicillamine had to ask the patient, family history, family, or without such disease. (B) the physical condition The disease often in the infection (tonsillitis, pharyngitis or general upper respiratory tract infection) or after cold after the onset. Acute onset process can be slow, there were occult onset. Clinical procedure or treatment can be alleviated, but easily repeated attacks increased. 1. Symptoms of edema in nephrotic syndrome is often the first symptoms begin to occur in the eyelid and face, and then gradually spread to the whole body. Edema with the position and changes in the early morning performance in the face more than the afternoon abdomen, lower extremities the most obvious. Edema is not First, severe skin tight body, pale as wax, accompanied by eyelid swelling and can not open the chest, abdominal effusion that affect breathing. male patients scrotal edema and swelling of the skin thinning, and even liquid exudation. Edema serious are often significantly reduced urine output, daily little as 300 ~ 400ml, urine protein concentration as h