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What are the nursing methods for chronic glomerulonephritis?

2017-07-07 18:39

Chronic glomerulonephritis is a group of glomerular diseases with persistence, slow progression, and eventually progression to chronic renal failure. In the long course of its development, the correct and reasonable care of this disease is particularly important. Here is a reasonable way to treat chronic glomerulonephritis.

Diet treatment takes high sugar, high vitamin, moderate protein and fat low salt diet. During the acute period of 1~2 weeks, the sodium intake should be controlled 1 to 2g per day, and when the edema disappeared 3 to 5G per day; patients with severe edema, oliguria, and hypoxemia should limit the intake of water and protein. When the edema subsided and the blood pressure returned to normal, the diet gradually shifted from a low salt diet to a regular diet.

Rest. Within 2 weeks of onset, take bed rest, reduce cardiac load, improve renal blood flow, prevent severe cases. Hypertension and heart failure patients to try to rest in bed till edema disappear and blood pressure return normal, gross hematuria disappeared, can take mild indoor activities; 2 ~ 3 months later, urine red cells per high-power field less that 10 and ESR is normal, patients can go to school; but avoid physical activity; Addis count return to normal then can take activities.

Observation of condition. Blood pressure, blood pressure was measured 2 times every day, regular inspection, check is there headache, vomiting, vertigo and other symptoms in children patients, promptly notify the doctor if show abnormality. Urine volume: weigh body weight 2 times a week, severe edema patients, weight body weight every day, observe the degree of edema changes. Take morning urine 2 times a week for routine urinalysis. Correctly record output and input of 24h. Take your temperature, pulse, respiration, and blood pressure daily, regularly, or as directed by your doctor, and take notes. Pay attention to the occurrence of complications, and report abnormalities to the doctor immediately and cooperate with them. It is very important to take care of acute glomerulonephritis.

Nursing care in the prevention of complications: close observation of changes in vital signs; patients with severe edema, when accompanied by irritability, difficulty breathing, fast heart rate, and could not lie down, the bottom of lung auscultation and liver enlargement, should report to the doctor immediately, while patients take semi supine prescribed to give oxygen, diuretics, can also be intravenous infusion of sodium nitroprusside or phentolamine, reduce blood circulation, reduce the load on the heart, when necessary, given digitalis, dose should be small, symptoms improved then stop that drug.

In daily life, attention should be paid to keeping the indoor air fresh and ventilation at regular intervals. The family should try to refuse relatives and friends to visit, especially those suffering from cold, so as to prevent respiratory tract infection, because the respiratory tract infection of children will aggravate the condition.

Frequently bathe, change clothes frequently, keep the bed surface clean and tidy; and avoid muscle injection in the edema parts; turn over regularly, patients with serious edema, put pad or air cushion ring under bearing pressure parts, to prevent skin damage.

Those above are about the nursing care of acute glomerulonephritis, I hope I can provide some help, if you encounter any abnormal reaction in the recovery process, should be promptly go to the regular hospital, so to avoid relapse of the disease.

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