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NEPHROTIC SYNDROME nephrotic syndrome (Pathophysiology (Glomerular…
NEPHROTIC SYNDROME
Definition
It is not a disease but a clinical manifestation that result from renal disease
Clinical Manifestations
Oedema
Hyperlipidaemia
massive proteinuria
Hypoalbuminaemia
Causes
Acute glomerulonephritis
Chronic glomerulonephritis
Chronic diseases
Renal transplant
Congestive Cardiac failure
Diagnostic Study
Blood Test
Renal Biopsy
Urinalysis
Pathophysiology
Glomerular basement is damaged
Protein of small molecule weight
Leak through the bowman's capsule
And also leak through proximal tube
The body continues losing protein
Osmotic pressure decreases
Which result to oedema
Diseases progress to renal failure
Nursing Intervention
Avoid fluid loss
Measure intake and out put
Test Urine daily
Place patient on bed rest
W
Pharmacology
Diuretics
Corticosteriods
Thoracocentesis
Paracentesis abaomins
Immunosuppressive agents
Diet Therapy
Diet should be high in proteins
Drink plenty of water
Calories should be increased
Sodium should be restricted
