NCLEX Review & Nursing School

NEPHROTIC SYNDROME

– There is an increased glomerular permeability allowing larger molecules to pass through the membrane into the   urine.

Main assessment in patients is Severe Protienuria (>3.5 G OF PROTIEN IN 24 HOURS)

• HYPERLIPIDEMA
• EDEMA
• HYPERTENSION

• HYPOALBUMINEMIA

– a condition of increased glomerular permeability that allows larger molecules to pass through the membrane into the urine and be removed from the blood.
– This process causes massive loss of protein into the urine, edema formation and decreased
plasma albumin levels. Many agents and disorders are possible cause of NS.

PATIENT ASSESSMENT:
– main feauture is severe protienuria (>3.5 grams of protien in 24 hours)
– Clients also have hypoalbuminemia (serum albumin ❤ g/dl)
– hyperlipidemia, lipiduria, edema and hypertension

KEY FEAUTURES
– massive protienuria (protien in urine)
– hypoalbuminemia
– edema
– lipiduria
– hyperlipidemia

TREATMENT
– treatment varies depending upon what process is causing the disorder.
– Immunologic processes may improve with suppressive therapy using steroids and catatonic agents.

• PROVIDE BED REST
• DIET: MODERATE PROTIEN, LOW SODIUM LOW SATURATED FAT.

MEDICATIONS:
– Ace Inhibitors= to decrease protienuria
– Cholesterol lowering agents- decrease hyperlipidemia
– Diuretics- to control edema