How to ensure that patients with nephrotic syndrome have better therapeutic effect?2017-12-31 17:12
Nephrotic syndrome is a glomerular basement membrane permeability increased, the main symptoms manifested as a large number of proteinuria, hypoproteinemia, a high degree of edema, hyperlipidemia, a series of clinical symptoms, then we need nephrotic syndrome patients need A certain degree of nursing care can have a better therapeutic effect on the condition.
Nephrotic syndrome care Nephrotic syndrome can be divided into primary, secondary and acquired nature, because patients often clinically often expressed as edema, oliguria, fatigue, anorexia and other symptoms, so care is very important, the purpose of nursing care Maintain normal body fluid balance, serum albumin in normal size, no contamination and so on.
Nephrotic syndrome patients in the nursing approach. Resting conditions Patients should choose a good resting environment, severe edema, body fluid best to lie in bed rest, edema disappeared, the general situation improved to get up. Indoor ventilation 2 times a day, every 15 minutes to 30 minutes, indoor UV disinfection once a week. Avoid infection to avoid the patient's cold, pay attention to the mouth, food hygiene. Patients should be relaxed and comfortable clothing should choose loose cotton underwear, soft cloth shoes, do a good job in clean skin care.
Accurate use of drugs should be based on doctor's advice accurate use of expansion agents, anticoagulants, diuretics, white protein, etc., look at the efficacy and adverse reactions. Intravenous rehydration should be controlled infusion speed and dose, try to prevent muscle or subcutaneous injection. Regular examination should be regularly to detect the patient's blood electrolytes, serum protein status, accurately note the 24-hour access, weight monitoring. Always observe the patient's temperature, pulse, blood pressure changes, nausea, dizziness, back pain, limb paralysis, pain, oliguria or anuria and other conditions occur, tell the doctor to deal with as soon as possible.
Diet can eat high calorie, high protein, high vitamin diet, sodium (less than 3 grams per day), potassium intake (less urine should control potassium intake). Clinical symptoms: a large amount of proteinuria ≥ 3.5g / 24 hours, more than a few dozen grams / 24 hours. Hypoalbuminemia: ≤ 30g / L. 3. Edema of the whole body, body position, depression, varying degrees. Hyperlipoidemia.