Nursing of Nephrotic Syndrome 02

Nursing of Nephrotic Syndrome 02

1. As prescribed by your doctor to use hormones and immunosuppressive agents, pay attention to the side effects of drugs, especially the use of CTX should be in the morning medication to prevent hemorrhagic cystitis, hormone medication morning Dayton clothing, adequate use of hormones to inform unauthorized use of hormones Drug risk, good use of hormones and immunosuppressive agents observed adverse reactions.

2. nephrotic syndrome patients need to do renal biopsy, because renal biopsy is to determine the pathological type of renal tissue is the only means, but also to determine the prognosis and treatment of an important means to do preoperative and postoperative mission.

3. Observation of edema and edema of the skin care.

4. Active prevention of various infections, so as not to aggravate the condition due to infection.

Fourth, inspection and treatment

1.24-hour urine protein quantification can help diagnosis.

2. Plasma protein, blood lipids test will help the diagnosis of this disease.

Renal biopsy is the only way to determine the pathological type of renal tissue, which can provide a reliable basis for the choice of treatment regimen and prognosis estimation.

Dialysis treatment of acute renal failure when feasible dialysis treatment. 5, dialectical protection 1. dampness intrinsic: edema obvious, tight skin, abdominal fullness, chest tightness Fanre, mouth pain, dry mouth, dry stools or stools burning anal, short yellow urine, red tongue, yellow fur Tired, slippery pulse.

⑴ less salt or salt-free diet, limiting water intake; edible heat dampness of the goods, such as Rhizoma Imperatae, plantain, corn, wild chrysanthemum and other Jianshui on behalf of the tea; , Alcohol and spicy things.

⑵ obvious ascites should be semi-sitting position, raising the lower limbs to facilitate body fluid reflux, abdominal distension who eat gas food, such as desserts, milk, soy milk and so on.

⑶ dry stool can be served when the senna baked tea served or on behalf of the doctor to Chinese enema, loose stools should pay attention to do perianal skin care.

⑷ pay attention to skin clean and prevent ulceration.

⑸ decoction of Chinese medicine should be warm clothes, take the water by the time of the attack, the Chinese medicine should be fried to 50 ~ 100ml, frequency service, and observe the two cases.

2. Moisture soaking: more from the lower extremity first swollen, limb swelling gradually, especially in the lower limbs, according to the no means, not with the complex, with chest tightness, abdominal distension, body weight sleepiness, satisfied less pan evil, shortness of urine, greasy tongue coating, .

⑴ bed rest, keep warm, to prevent cold.

⑵ limit the water and salt intake, eat more water and yang, spleen dampness of the goods, such as Astragalus carp soup.

 ⑶ appropriate raise the lower limbs, in order to facilitate body fluid reflux.

⑷ Chinese medicine should be warm clothes, if accompanied by nausea and vomiting, rubbed the tongue with ginger before taking, or points a small number of Beverage Service.

⑸ strengthen the edema of the skin care, to avoid unnecessary puncture and injection, female patients with warm water daily rinse the perineum, male patients with scrotal edema to keep local clean and dry, if necessary, 50% magnesium sulfate solution wet compress, And with the T-belt hold up fixed to prevent damage infection. ⑹ satisfied that those who can take slag tablets, spleen appetizer drink to spleen and stomach, reduce gastrointestinal damage to Western medicine.

3. Yang flooding: a high degree of swelling of the body, abdominal big chest full, lying to promote even, shaped Hushen Juan, looking white white, less satisfied, short urine, pale tongue, side teeth printed, moss white, pulse Thin or knot generation.

⑴ bed rest, reduce activity, shortness of breath may be obvious oxygen inhalation, semi-sitting position.

⑵ diet to do color flavor and taste, proper nutrition, can eat more warm kidney yang, line gas and water products, such as Cordyceps sinensis, jujube stewed pig kidney consumption, or eat black bean fillet porridge to facilitate water swelling.

⑶ Chinese medicine should be thick fried, hot clothes, a small number of times.

⑷ obvious ascites can be semi-sitting position, with a long belly with a fixed, daily measurement of abdominal circumference, accurate records.

4. Spleen dampness: surface floating foot swollen, repeated, growth and fatigue, fatigue, increased afternoon, abdominal distension was small, pale complexion, Shenpi fatigue, oliguria color, loose stools thin, white slip tongue, weak pulse. ⑴ bed rest, appropriate bedside activities.

⑵ more food spleen dampness of the goods, such as Poria, Chinese yam, Gorgon, etc., can also eat dried ginger porridge or porridge jujube porridge soup, black bean fillet porridge, quasi-Qi stewed chicken porridge.

⑶ Chinese medicine should be thick fried, hot clothes, a small number of times.

⑷ do a good job security, prevent accidents or servants.

5. Feng Shui Competing: the beginning of eyelid edema, followed by the limbs, the body also swollen, skin luster, according to the depression, easy to complex, accompanied by fever, sore throat, cough embolism. Ward should be dry, ventilated, dry sweat in a timely manner to avoid the cold.

⑵ diet should be light, eutrophic, avoid spicy fatty tired of the goods, can eat more heat and water of the goods, such as red bean carp soup, both exogenous pathogens can also be used Jianshui Jianshui drink to help diverge.

⑶ strengthen the oral care, with cough, sore throat when available gargle water garlic liquorice to facilitate detoxification.

⑷ Chinese medicine should not be a long fried, should be hot clothing cover, drink hot porridge or ginger syrup after lying, to help sweat.

【Discharge Guidance】

1. Shenqi Ju, shelter from the cold, to avoid all kinds of infections.

2. Strengthen physical exercise, improve disease resistance.

3 life section, do not overwork.

4. A reasonable diet, avoid alcohol and spicy thick greasy goods.

5. According to your doctor medication, discharged a week after the out-patient review, followed by a monthly referral once, adhere to medication, regular review of hematuria routine, liver and kidney function, 24-hour urinary protein quantification.

6. Stable disease, should avoid all induced or aggravating factors such as: infection, fatigue, malnutrition, high-protein diet, irregular medication.

7. Cultivate optimistic and open-minded personality, to avoid mood swings.