Nephrotic Syndrome:Nursing Care Tips in Daily Life

The following measures to improve the absorption of calcium:

1. Vitamin D can promote the absorption of calcium in intestinal tract. They can have some foods rich in vitamin D.

2. Proteins are beneficial to the absorption of calcium. However, for the patients with Nephrotic Syndrome should limit protein intake strictly. Therefore, they can keep proper intake of high-quality protein supply.

3. The 7-dehydrocholesterol in skin can convert to vitamin D thus promoting the bone development. Therefore, the patients with Nephrotic Syndrome on hormone should often bask in the sun.

4. Limit the intake of foods high in fat because the non-esterified fatty acid can combine with calcium thus decreasing the calcium level in body.

5. Excess alcohol and nicotine can affect the absorption of calcium. Therefore, the patients should quit smoking and drinking.

Nursing Care for Patients with Nephrotic Syndrome in Daily Life:

* Rest and activity: If the patients experience severe anasarca and even ascites, they must stay in bed and keep a reclining posture. The patients should take systemic joint motions with the help of nursing personnel to prevent anchylosis and spasm as well as thrombus formation. However, if the patients are complicated with high blood pressure, they should limit their activity. After the swelling relives, they can take moderate indoor activity. When the protein in urine is less than 2g/d, they can take proper outdoor activity, but they should avoid intense activities like running, jumping, lifting heavy things and so on.


* Nursing care on diet: The patients with Nephrotic Syndrome should manage their diet with strict restrictions. The diet should improve their nutrition condition, but does not cause excess burden to their kidneys.


 Protein: High protein intake can cause much burden to their kidneys. Therefore, low-protein diet is recommended to the patients with Nephrotic Syndrome. High quality protein refers to the animal protein rich in essential acid amino. The patients with Nephrotic Syndrome should keep their protein intake with 1g/ (Kg.d). However, when they suffer Renal Insufficiency, they should adjust their protein intake based on the creatinine clearance rate.


 Calorie: The patients with Nephrotic Syndrome should keep adequate calorie supply and it should not less than 126~147 KJ/ (kg.d).


 Fat: To relieve hyperlipidaemia, the patients with Nephrotic Syndrome should reduce the foods abundant of saturated fatty acid like animal fat and should have more foods with high polyunsaturated fatty acid such as vegetable oil and fish oil and foods rich in soluble fiber like oat.