Signs & Symptoms
This is the most common early visible symptom of nephrotic syndrome
What is periorbital edema?
This urine test confirms protein loss
What is a urinalysis?
This steroid is the first line of treatment.
What is prednisone?
This should be done every morning to monitor fluid retention.
What is daily weight?
What should parents look for to spot a relapse?
Swelling, decreased urine, fatigue
This symptom is often noticed in the urine of children with nephrotic syndrome.
What is foamy or frothy urine?
This blood protein is usually low in nephrotic syndrome
What is serum albumin?
This medication helps get rid of excess fluid
What is furosemide (Lasix)?
Why is strict I&O important?
To monitor kidney function and fluid balance.
Why is it important not to stop steroids suddenly?
It can cause adrenal crisis and relapse
True or False: Weight loss is expected in nephrotic syndrome
False – they usually gain weight due to fluid retention
This test is only done if the child doesn’t respond to steroids
What is a kidney biopsy?
Why might albumin be given IV?
To replace lost protein and help pull fluid back into vessels
The nurse should check for this in the child’s face, belly, and legs.
What is edema?
Parents might be asked to do this at home using a test strip
Check for protein in the urine
This general symptom may cause the child to feel tired and cranky
What is fatigue or irritability?
Which lab value helps monitor kidney function?
What is BUN and creatinine?
Name one side effect of prednisone.
Increased appetite, mood swings, weight gain, or risk of infection
What activity might be restricted during a flare-up?
Physical activity or sports.
What kind of precautions should parents take during cold/flu season?
Handwashing, limit exposure to sick people
Swelling can also be seen in these two areas besides the eyes
What are the legs and abdomen (ascites)?
This lab value may be elevated along with low albumin
What is cholesterol?
Why are antihypertensives sometimes used in nephrotic syndrome?
To manage high blood pressure from fluid overload.
What kind of diet is usually ordered for these patients?
Low-sodium, possibly high-protein if allowed
Why is follow-up care with the doctor important?
To monitor labs, adjust meds, and prevent complications