Definition
Kidney disorder marked by massive protein loss in urine
Face
Facial puffiness (especially in the morning)
Urinalysis
Protein +3 or +4
Monitor
daily weight and I&O (intake/output).
Corticosteroids
Prednisone is first-line
Lead to
hypoalbuminemia, hyperlipidemia, and edema.
Urine
Foamy urine due to proteinuria
Albumin
Low serum albumin (<2.5 g/dL)
Assess
edema and respiratory effort
Diuretics
to manage edema
Most common
in children: Minimal Change Disease.
Body
Swollen abdomen and legs (edema)
Cholesterol & Triglycerides
High
Maintain
low-sodium diet.
Albumin infusions
if severely hypoalbuminemic.
Not an infection but
may follow one (e.g., URI).
Weight
Weight gain with reduced urine output.
BUN/Creatinine
Elevated BUN/Creatinine in complications
Ensure Prevention
infection prevention (due to steroid use).
Antibiotics
if secondary infection develops.
not a single disease but
a clinical syndrome
Status
Fatigue and irritability
Renal biopsy
If not responding to steroids
Provide
skin care to prevent breakdown.
Immunosuppressants
if steroid-resistant