Nursing Care Plan for Nephrotic Syndrome
Nursing Care Plan for Nephrotic Syndrome
Nephrotic syndrome is a nonspecific kidney disorder characterised by a number of signs of disease: proteinuria, hypoalbuminemia and edema. Nephrotic syndrome characterized by an increase in permeability of the capillary walls of the glomerulus leading to the presence of high levels of protein passing from the blood into the urine (proteinuria at least 3.5 grams per day per 1.73m2 body surface area); ( more than 40 mg per square meter body surface area per hour ) low levels of protein in the blood (hypoproteinemia or hypoalbuminemia), ascites and in some cases, edema; high cholesterol (hyperlipidaemia or hyperlipemia) and a predisposition for coagulation.
Symptoms
Swelling (edema) is the most common symptom. It may occur:
- In the face and around the eyes (facial swelling)
- In the arms and legs, especially in the feet and ankles
- In the belly area (swollen abdomen)
Other symptoms include:
- Foamy appearance of the urine
- Poor appetite
- Weight gain (unintentional) from fluid retention
Nursing Diagnosis for Nephrotic Syndrome
- Ineffective tissue perfusion: Renal
- Risk for Deficient Fluid Volume
- Imbalanced nutrition: Less than body requirements
- Disturbed body image
- Excess fluid volume
- Risk for injury
- Risk for Infection
