On the basis of observational studies, the most common cause of nephrotic syndrome in school aged children is minimal change disease. On the basis of research evidence and consensus, corticosteroids are considered first line therapy for treatment of
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this NCP is a student-made NCP for assignment in RLE. we are assigned in ER, that's why you'll see the number of hours i used are very limited. anyhow, the time frame, as i see it, is realis…Full description
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Assessment
Nursing Diagnosis
Analysis
Goal/Objectives Goal/Objectives
Nursing Intervention
SUBJECTIVE: "Marami siyang iniinom na gatas nakakapitong bote siya ng gatas pero konti lang iniihi niya" as verbalized by the mother.
Excess fluid volume related to compromised regulatory mechanism with changes in hydrostatic or oncotic vascular pressure and increased activation of the reninangiotensinaldosterone system as evidence by edema.
Nephrotic syndrome is a clinical disorder of unknown cause characterized by proteinuria, hypoalbuminemia, edema, and hyperlipidemia. This conditions result from excessive leakage of plasma
Goal:
INDEPENDENT: Record accurate intake and output of the patient.
OBJECTIVE:
Edema Weight gain over short period of time
After 8 hours of nursing interventions, the patient will display stable weight, vital signs within patient's normal range, and nearly absence of edema.
Monitor urine specific gravity.
Rationale
Objectives:
After 15 minutes of discussion the client will be able to verbalize understanding of individual dietary and fluid restrictions.
After 10 minutes of teaching the client will be able to demonstrate behaviors to monitor fluid
Weigh daily at same time of the day, on same scale, with same equipment and clothing. Assess skin, face, dependent areas of edema.
Accurate intake and output is necessary for determining renal function and fluid replacement needs and reducing risk of fluid overload. Measures the kidney's ability to concentrate urine. Daily body weight is the best monitor of fluid status. A weight gain of more than 0.5kg/day suggest fluid retention. Edema occurs primarily in dependent tissues of the body. It will serve as parameter the severity of fluid excess.
Evaluation
After 8 hours of nursing interventions, the patient was able to display stable weight, vital signs within patient's normal range, and nearly absence of edema.
status and reduce recurrence of fluid excess.
After 10 minutes of discussion the client will be able to list signs that require further evaluation.
Monitor heart rate and blood pressure.
Assess level of consciousness; presence of restlessness
COLLABORATIVE: Monitor laboratory and diagnostic studies.
Administer diuretics as prescribed.
Tachycardia and hypertension can occur because of failure of the kidneys to excrete urine. May reflect fluid shifts and electrolyte imbalances.
Provide assessment of the progression and management of the dysfunction. To promote adequate urine volume that aids in prevention of further edema.
