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Nephrotic syndrome (Definition (Is an alteration of kidney function caused…
Nephrotic syndrome
Definition
Is an alteration of kidney function caused by increased glomerular basement membrane permeability to plasma protein (albumin)
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Pathophysiology
When the glomerular basement membrane is damaged, there is an increase in permeability that initially allows proteins of small molecular weight to leak out through the bowman’s capsule and proximal tubule . As the condition worsens , larger proteins (albumin) also leak out and are excreted in urine.
Medical management
Administer diuretics for the management of oedema. Immunosuppressive agents as well as corticosteroids may be prescribed.
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Health education
• Be mindful of protein intake
• avoid using seasonings with salt in the name and prepare meals at home.
Nursing management
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• Determine potential sources of excess fluid (e.g ,food, medication used)
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