diet for kidney disease
nephrotic syndrome nursing care plan

nephrotic syndrome nursing care plan

Nephrotic syndrome is not an independent disease, but a group of clinical syndrome caused by a variety of kidney diseases with the following manifestations: a large number of proteinuria, hypoproteinemia, swelling and hyperlipidemia. Do some necessary caring in patients with nephrotic syndrome and take appropriate care measures play an important role in improving the patient's physical and mental quality and overcoming the disease,preventing complications and promoting the recovery of the disease.


Nephrotic syndrome is not an independent disease, but a group of clinical syndrome caused by a variety of kidney diseases with the following manifestations: a large number of proteinuria, hypoproteinemia, swelling and hyperlipidemia. Do some necessary caring in patients with nephrotic syndrome and take appropriate care measures play an important role in improving the patient's physical and mental quality and overcoming the disease,preventing complications and promoting the recovery of the disease.

  • 1.Nursing care plan of nephrotic syndrome diet

    Nephrotic syndrome patients with hyperlipidemia can increased blood viscosity, hypoproteinemia, caused by insufficient effective blood volume, platelet hyperfunction and nephrotic syndrome,further exacerbating the hypercoagulable state, the thrombosis prone, the blood flow is slow, intravascular membrane damage, blood hypercoagulability is one of the three major factors of thrombosis, so the diet intervention on nephrotic syndrome patients, effective treatment of hyperlipidemia, prevention of thrombosis has important clinical significance, health education can strengthen the patients understanding of the complications of the disease , so as to establish effective compliance. First of all, responsible for the kidney disease patients repeatedly stressed the strict restriction of dietary fat and cholesterol intake. Fat content of not more than 30% of the total, cholesterol is not more than 300mg/d, encourage patients to eat more foods rich in unsaturated fatty acids, promote the light rich in vitamin diet, as far as possible with soybean oil, corn oil for food oil. Protein intake is associated with the course of disease, generally by 0.8 ~ 1.0g/ (kg? D) was given to normal protein diet, 60% of them for the rest of animal protein, vegetable protein, albumin in plasma is lower than 20g/L, proteinuria more than 10g/d, the clinical application of angiotensin converting enzyme inhibitors, dietary protein (by 1.2 to 1.5g/ kg? D) given the high protein diet, with renal insufficiency were treated with 0.6 ~ 0.8g/ (kg? D) low protein diet. Strictly control the amount of liquid into 24 hours, the amount of water +500mL for the next day, the daily weight. Should be low salt diet, not more than 3G per day, and according to the needs of calcium, iron and trace elements, etc.. Responsible for nurses vary from person to person, according to the nutritional needs of their patients to develop a diet plan, reasonable conversion, allocation of recipes, issued to the patient, and to monitor whether the patient in accordance with the recipes meals. And through a pair of diet education, to strengthen the diet of patients with emphasis on treatment, effectively avoid the patients with kidney disease, what do not dare to eat, what to eat, two kinds of wrong diet mistakes.

  • 2.health education for Nephrotic syndrome

    Explain to patients of nephrotic syndrome complicated with thrombosis, embolism causes, treatment and nursing care and other related knowledge, and encourage patients to actively cooperate with the treatment of diabetes, hypertension, nephrotic syndrome and other primary disease, the establishment of good compliance, to thrombosis, embolism early prevention, early detection and treatment purposes. Hospitalized patients adhere to the law of life, a good rest, improve nutrition, increase the body resistance, avoid mood swings, patients once found infection positive control, is an important step in preventing recurrence of kidney disease. Discharged patients feel fatigue should be timely laboratory tests, such as abnormal timely admission, church patients to observe the complications of thrombosis, embolism.

  • 3.observation

    To observe the clinical symptoms of cerebral embolism in patients with consciousness and language. The close observation of lower extremity edema, pain, sensory symptoms disorders, skin temperature, skin color, pulsation of dorsal artery of foot and lower extremity blood circulation of lower extremity deep venous thrombosis. To observe the symptoms of renal vein thrombosis in patients with sudden low back pain, abdominal pain and gross hematuria. Ask the patient daily stool frequency, should maintain defecate unobstructed, avoid forced breath hold in order to prevent embolus off and cause pulmonary embolism. Whether the observation of patients with acute dyspnea, cyanosis, chest pain, cough, hemoptysis and pulmonary embolism symptoms occur or when the doctor should be notified immediately, symptomatic treatment, the nurse should be 15 ~ 30min in the ward visits 1 times, pay close attention to the condition changes, ask the patient to rest, thrombosis patients should keep the skin clean, elevation the limb above the level of the heart, 20 ~ 30cm, 15 degrees of knee flexion, avoid knee bolster, influence of venous return, pay attention to body warm, different planes daily in week to measure and record the limb size, prohibit the deposited or hot compress the limb.

  • 4.Nephrotic syndrome medication care

    Ward established drugs after the key observation system and process, and in accordance with the implementation, timely recording, when the blood hypercoagulable state, should be given anticoagulants such as heparin, supplemented by platelet drugs, in the use of heparin, dipyridamole and other drugs in the process, if the skin, mucosa, oral cavity, gastrointestinal bleeding tendency when should be prescribed by drugs, and give symptomatic treatment, and observe the adverse reactions of drugs, such as headache, application of diuretics, appropriate plasma transfusion or intravenous albumin infusion, after intravenous injection of furosemide, should slow infusion, should not be too much too fast, so as to avoid the insufficient effective blood volume. In addition to blood hypercoagulability induced thrombosis associated with heart disease should be used with caution, to observe the diuretic effect of attention following diuresis, and pay attention to the extensive use of diuretics, patientssusceptible electrolyte disorder , leading to hyperuricemia, nerve deafness, severe hypoproteinemia, and induced circulatory dysfunction.

  • 5.Nephrotic syndrome psychological nursing

    Nephrotic syndrome complicated with thrombosis in hospitalized patients because of the image change and appear fear, inferiority, refuse treatment, and even commit suicide and other adverse emotional reactions, nurses should be responsible for smiling, amiable attitude, positive emotions will be transmitted to the patient, often visited the wards, take the initiative to communicate with patients, patients with the patience to listen to talk, understand the patients' psychology needs corresponding nursing measures, help patients to establish the confidence to overcome the disease, emphasizing the things as they come, actively cooperate with the treatment at the same time, the mental state is very important, with love, compassion, responsibility, careful to provide patients with effective nursing care, psychological suggestion, explain to the patient treatment success the patients to eliminate the fear of adverse.

  • Through diet intervention and health education can improve the awareness of patients with self-care disease prevention,Establish a good concept of compliance behavior and health behavior,Thereby effectively reducing the incidence of thrombosis in patients with nephropathy.

    Nephrotic syndrome is caused by kidney damage which is lead to by a variety of reasons. Kidney damage results in the increase of plasma protein leaking due to a high glomerular filtration membrane permeability. A large number of plasma albumin in the urine is also the symptoms for nephrotic syndrome. Its course is long, easy to relapse, therefore, the nursing care is of great importance for nephrotic syndrome patients. The quality of care may affect the development of the patient's condition, the length of the course and the effect of treatment. The nursing staff should according to the patient's psychological, physiological and social environment factors provide patient with comprehensive care, help patients to establish the confidence to overcome the disease. So make the patients in the best treatment conditions and the best environment thus promote the recovery of the disease.

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