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What is Nephrotic syndrome? CORRECT ANSWERS Alteration in glomerular
membrane allowing proteins (typically albumin) to pass in the urine causing decreased
serum osmotic pressure
Risk factors CORRECT ANSWERS 2-3 years of age
Cause exactly is unknown but likely to be from:
-glomerular damage
-congenital nephrotic syndrome
Clinical findings CORRECT ANSWERS -weight gain over days/weeks
-facial/periorbital edema that decreases throughout the day
-ascites
-anorexia
-diarrhea
-decreased frothy urine
-normal BP or slightly low
Urine analysis CORRECT ANSWERS PROTEINURIA: Protein greater than 2+ on
dipstick
Hyaline casts
Fewer RBC
Oval fat bodies
Serum Chemistry CORRECT ANSWERS -HYPOalbuminemia
-HYPERlipidemia
-Hemoconcentration (elevated Hbg, Hct, and platelets)
-Hyponatremia is possitive
GFR normal or high
Diagnostic CORRECT ANSWERS Kidney biopsy is ONLY indicated if nephrotic
syndrome is not responsive to steroid therapy
Nursing Care CORRECT ANSWERS -rest