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NEPHROTIC SYNDROME (PATHOPHYSIOLOGY (serum proteins and osmotic pressure…
NEPHROTIC SYNDROME
PATHOPHYSIOLOGY
serum proteins and osmotic pressure decreases
low pressures causes oedema
the body looses proteins
fluid accumulates in interstial spaces
albumin leaks out and is excreted in urine
circulating volume decreases
small proteins leak int the bowmans capsule
aldosterone is stimulated
glomerular basement is damaged thus increasing permability
angiotension II causes vasoconstriction
plood pressure increases
NURSING MANAGEMENT
administer immunopressive agents as prescribed
daily urinalysis
report to avoid fluid loss
give high protein diet
strict intake and output monitoring
diuretics to manage oedema
restrict sodium intake
bed rest for servere oedema
institute infection prevention measures
weigh patient every day
health educate on disease and medication
SIGNS AND SYMPTIOMS
hyperlipidermia
hypertension
hypoproteinaemia
fatigue, headaches and irritability
proteinuria
anorexia and mailase
anasarca
DIAGNOSTIC PROCEDURES
renal biopsy
blood test for proteins and lipids analysis
urine analysis
DEFINITION
signs and symptoms in conditions causing glomerulo damage
