Nephrotic Syndrome Case Study (Peds) (45 min)
A 4-year-old child has been admitted to the hospital with nephrotic syndrome. The little boy has ascites and swollen legs and arms. The nurse on the med-surg unit is preparing for the child and his mother and father to arrive from the Emergency Department. The family arrives to the room and the little boy gets […]
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Lesson Objectives: Enuresis/Bedwetting Understanding Enuresis: Develop an understanding of enuresis, including its definition, potential causes, and prevalence in different age groups. Gain insights into the physiological and psychological factors contributing to bedwetting. Assessment Skills: Acquire assessment skills to identify the underlying causes of enuresis. Learn to differentiate between primary and secondary enuresis and recognize potential […]
Nephrotic Syndrome
Overview Disorder of the glomerulus resulting in renal protein loss. Primarily occurs in kids 2-7 years of age Untreated, patients often die of infection. Nursing Points General Glomeruli become more permeable to proteins. This causes: Proteinuria Hypoalbuminemia Hyperlipidemia Edema Patients are at increased risk for: Infection Thrombosis Diagnosis Urinalysis Proteinuria Protein excretion of >40mg/m2/hr […]
Enuresis
Overview Inability to control bladder despite being beyond the age of anticipated control (older than 5). Can be day or night but mostly used to describe nighttime bedwetting Primary enuresis In children who have never achieved dryness Secondary enuresis In children who used to be toilet trained Nursing Points General Causes Slow development Anxiety/Stress Genetics […]
Epispadias and Hypospadias
Overview Epispadias Urethra opening is on the top of the penis Hypospadias Urethra opening is on the underside of the penis Causes chordee Ventral (downward/toward the underside) curvature of penis The further away the urethra is from normal positioning the more severe the defect is. Nursing Points General Increase risk for sexual dysfunction as […]