Nephrotic syndrome nursing routine

Nephrotic syndrome nursing routine

【Condition observation】

1. To observe the blood pressure, edema, urine output changes.

2. Note whether the listlessness, weakness, abdominal distension, bowel sounds weakened and so on.

【Symptoms Nursing】


1. Edema care:

(1) severe systemic edema should rest to bed rest to edema, keep warm and personal hygiene, good skin care.

(2) strictly record the number of people, limiting the amount of liquid into the liquid volume is equal to the previous day urine volume plus 500ml.

(3) daily monitoring of body weight and record.

2. Prevention of infection care

(1) to strengthen the skin, oral care.

(2) regular air disinfection ward to reduce the number of visits.

(3) do a variety of strict implementation of the principle of aseptic operation.

(4) after the condition improved or when hormone dosage decreased, the appropriate exercise to enhance resistance.

3. Prevention of thrombosis care:

(1) acute phase bed rest, to give both lower extremity massage, recovery activities and rest alternating.

(2) prescribed application of low molecular weight heparin therapy.

(3) to observe whether renal vein thrombosis, such as back pain, kidney enlargement, deterioration of renal function.

(4) to observe whether the pulmonary embolism, such as hemoptysis, wheezing and myocardial infarction, cerebral infarction.

【General Care】

1. Bed rest, to maintain proper bed or bedside activities, disease relief can increase activity.

2. Give high-quality protein diet, such as eggs, milk, lean meat and so on, less into the rich saturated fatty acids diet (animal fat), eat polyunsaturated fatty acids rich in diets, such as vegetable oil, fish oil. Edema when given low-salt diet.

3. Encourage to speak out about the illness concerns, analyze the causes, help patients to reduce the ideological burden.