NCLEX Review & Nursing School

Nephrotic Syndrome

– increased glomerular permeability that allows larger molecules to pass through the membrane into the urine and be removed from the blood.

• There could be severe protienuria (>3.5 g of protien in 24 hours)
• Hyperlipidema
• Edema
• Hypertension

Nephrotic Syndrome

– 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 protien 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