Nursing of membranous nephropathy

　　SHIJIAZHUANG KIDNEY DISEASE HOSPITAL
　　Prevention and nursing of membranous nephropathyPrevention and nursing of membranous nephropathy
　　1. Pay attention to rest, avoid overworked, prevent infection, and give priority to with low protein diet, pay attention to vitamin supplements.To avoid damage the kidneys.
　　2. During the period of drug treatment, outpatient appointment, every 1 ~ 2 weeks to observe urine routine, liver, kidney, children patients should pay attention to the growth and development situation, to guide the course of completion.
　　3. Active disease control is completed, and after the treatment should be repeated renal biopsy, observed the pathological change kidney tissues, judge whether there is a chronic tendency, so as to take timely measures.
　　4. Pay attention to the protection of residual renal function, correcting the various factors of renal blood flow reduction (e.g., hypoalbuminemia, dehydration, low blood pressure, etc.) and to prevent infection, is an important link in prevention can not be ignored.To affect patient curative effect and complications of long-term outcome, should actively give treatment:
　　(1) infection: hormone therapy prone to infection, once discovery should be timely choose sensitive to pathogenic bacteria, powerful and without renal toxicity of antibiotic active treatment, there is a clear focal infection should be removed as soon as possible.
　　(2) thrombosis and embolism complications: it is generally believed that when the plasma albumin concentrations below 20 g/L, hints of high coagulation state, namely should start prophylactic anticoagulation.Anticoagulants general application should last for more than six months.Anticoagulation and thrombolysis therapy should be avoid drugs lead to excessive bleeding.
　　(3) with acute renal failure: nephrotic syndrome complicated with acute renal failure, such as improper handling can be life-threatening if correctly handle in time, most patients could recover.