Nursing of patients with nephrotic syndrome

Nephrotic syndrome care should pay attention to the following aspects:

(1) psychological care: patients often fear, irritability, sorrow, anxiety and other psychological disorders, which is not conducive to the treatment and rehabilitation of the disease. Care of the sense of responsibility, warm and friendly attitude, first of all to the patient safety and trust, and then help him overcome the psychological factors of failure, to lift their ideological concerns, to avoid emotional stimulation, training optimism. "Su asked the soup mash wine on the" cloud: "the spirit of the mind, the rule of governance, the disease can be more." To do health education, prevention of disease recurrence.

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 (2) clinical care: such as edema, a large number of proteinuria should be bed rest; eyelid facial swelling pillow should be slightly higher; severe edema should often change position; pleural effusion should be semi-recumbent; Hold the scaffolding. At the same time to high-calorie rich in low-salt diet of vitamins. In the renal insufficiency, due to urea nitrogen and other metabolites retention in the body to stimulate the oral mucosa is easy to cause oral ulcers, should strengthen the health care, rinse with physiological saline, keep the indoor air fresh, the ground with 84 liquid disinfection, Times, and reduce the attendant and so on.

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(3) drug treatment care: with diuretics, should observe the reaction after treatment, such as the patient's urine output, body weight, skin elasticity. With the powerful diuretics, to observe the patient's circulation and acid-base balance; in the use of hormones, should pay attention to side effects, withdrawal or change the way medication can not be too hasty, not sudden withdrawal, good conditioning, can promote early rehabilitation The

If you want to get some treatment or diet suggestions for kidney problem,you can feel to contact me by E-mail :chinakidneyhospital@gmail.com,or WhatsApp / Viber:008615132830921.

What is the reason for the high degree of edema of nephrotic syndrome?

In clinical practice, often can see many patients with nephrotic syndrome, swelling of the phenomenon of serious. Why is this?

According to hospital experts, nephrotic syndrome, the reasons for the high degree of edema is mainly affected by two aspects:

What to Do With Severe Swelling in Nephrotic Syndrome

    (1) decreased plasma colloid osmotic pressure: the exchange of blood vessels inside and outside the body by its osmotic pressure on both sides of the regulation. Osmotic pressure, including osmotic pressure and colloid osmotic pressure, the former from the crystal material (mainly electrolyte), because it is free to pass through the capillary wall, so the internal and external blood vessels within the exchange of little effect; the latter mainly from the protein (which is mainly Albumin), because it is not free through the capillary wall, which is the main factor in the exchange of blood vessels inside and outside the main factors. 

Nephrotic syndrome, due to a large number of plasma protein loss from the urine, causing hypoproteinemia, resulting in decreased plasma colloid osmotic pressure, when the normal 3.3 ~ 4kPa down to 0.8 ~ 1.1kPa, the blood vessels Water to hypertonic interstitial fluid movement, and edema occurred.

How To Do With Intermittent Edema in Nephrotic Syndrome Patients

    (2) reduced effective blood volume: the removal of plasma water to reduce the effective blood volume, which led to the following changes in the body: through the capacity of the sensor to increase antidiuretic hormone (ADH), renal tubular reabsorption of water increased; Su - angiotensin - aldosterone system, resulting in secondary aldosteronism, renal tubular reabsorption of sodium increased; inhibition of natriuretic factor production, the kidney to reduce sodium. So the body of water, sodium retention, further aggravated edema. The above two factors together cause a high degree of edema of nephrotic syndrome.

If you still have any doubts, you can feel to contact me by E-mail :chinakidneyhospital@gmail.com,or WhatsApp / Viber: 008615132830921.