Nephrotic Syndrome in Children

Nephrotic syndrome is a kidney disorder that characterized by massive proteinuria, hypoalbuminemia, and edema. The primary treatments are to reduce the excretion of urinary and maintain protein-free urine.

Signs and Symptoms:

• Child body weight is increased
• Periorbital and facial edema (mostly in the morning)
• Urine output is decreased
• Urine is dark and frothy
• Leg, ankle, labial or scrotal edema
• Abdominal swelling
• Blood pressure is normal or slightly decreased

Nursing Interventions:

• Monitor vital signs, intake and output, and daily weights
• Monitor urine for specific gravity and albumin
• Monitor for edema
• A regular diet without added salt is prescribed during remission
• A sodium restriction diet is prescribed during massive edema
• Administer corticosteroid and immunosuppressant as prescribed
• Administer diuretics as prescribed