necrotic secondary nephrotic

syndrome,
syndrome syndrome
idiopathic necrotic
congenital

an increase in the
permeability of the
glomerular capillary wall

damage to the kidney

glomerulus

leakage in the kidneys

Excessive filtration
occurs in the tubules

tubules are not able to

maintain albumin,
protein and sodium

Hipoalbuminemia
 Fluid accumulates in the
Blood protein
body tissues
deficiency Fluid shifting Proteins filtered by
the kidneys fail
Decrease in plasma
oncotic pressure
Decrease in total plasma
volume and arterial
There is protein in
The displacement of blood volume
the urine
fluid from the
intravascular to the
interstestitial Intravascular volume Urine becomes
depletion more
concentrated
edema
Decrease in renal Problems of nursing : The risk of
perfusion pressure urinary elimination disorders

Anasarka Problems of nursing :

Presses the inwards
Excess fluid volume Stimulates the renin
angiotensin system
Increase aldesteron
Problems of nursing : Nausea or vomiting

Body image disturbance

Edema
Desrease in sodium becomes Decreased appetite
reabsorbtion in distal severe
tubule
Retention of
Problems of nursing
fluid in the
Edema :nutritional disorder of
Increase in anti- abdomen
becomes the body’s needs
hormone release in
severe uertic
Pressing the
diaphragm

Hypertension Inadekuat
Respiratory muscle
breath Problems of nursing :
expansion is not
Ineffetive breathing
optimal
pattern