Nursing Care for Nephrotic Syndrome Singapore

Nursing Care for Nephrotic Syndrome Singapore


Nephrotic syndrome is a renal disorder that occurs when the kidney expels a lot of protein in the urine. Generally there are three presenting signs of disease which is increased protein in the urine, edema and decreased or low albumin in the blood. This disease occurs to anyone but mostly the adults man are more affected than children.

Symptoms, Causes, Risk Factors

Due to low circulating albumin or protein in the blood or hypoalbuminemia, the result is the occurrence of edema that is located around the eyes. The feet and ankles are also affected. With regards to the urine, it becomes foamy, which is related again to the protein that is expelled in the urine. Lastly, the patient will also gain body weight due to the increase in volume and fluid retention.

The cause of nephrotic syndrome is mainly due to injury of glomeruli. These are small blood vessels that filter stuff. However, once damaged, it will allow the pass age of too much protein from the blood into the urine. Among the main causes of glomeruli injury includes diabetes, lupus, amyloidosis and heart failure to name a few.

Risk factors for nephritic syndrome may include infection, use of drugs such as antibiotics, and comorbidities like diabetes, lupus and amyloidosis to name a few.

Nursing Care Plan for Nephrotic Syndrome

In order to help, the nurse must be aware about various nursing interventions in caring for a patient with nephrotic syndrome in collaboration with the medical team for the management of the symptoms of either the child or adult. First, the nurse must confirm the diagnosis by helping the patient undergo several tests such as urine test and blood extractions. Urine test will confirm the amount of high protein in the urine while the blood test will confirm the decreasing pressure level of albumin in the blood. Next is the clinical assessment. The nurse must document the appearance of and degree of pitting edema. Also, measure the weight of the patient, intake and output and the abdominal girth of the patient. For the diet of the patient, it must also change. There should be a high-protein diet with low cholesterol and low salt to control the edema. Collaboration with a dietitian is helpful to plan the condition of the patient. Medications as ordered should be given by the nurse together with health teaching.


Nephrotic syndrome has a good prognosis. Thus, most of the patients recuperate at home and can regain their health again. News resources and other new post resource about this condition can be found online.

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