PIPRAMS

LESSON PLAN ON
TOPIC:. NEPHROTIC SYNONYMS

SUBJECT: CHILD HEALTH NURSING

 IDENTIFICATION DATA:
• NAME OF THE TEACHER:. Ms MONALISA ( nursing lecturer)
• NAME OF THE SUBJECT:. CHILD HEALTH NURSING
• NAME OF THE TOPIC:. NEPHROTIC SYNONYMS
• GROUP OF THE STUDENTS:. GNM 3rd year
• SIZE OF THE GROUP: 50 students
• DATE AND TIME OF PRESENTATION:. 02/12/2023
• VENUE/PLACE OF PRESENTATION:. Class room
• DURATION OF TEACHING: 45 min
• AV AIDS:. Flash cards, chart paper
•
• PREVIOUS KNOWLEDGE ABOUT THE TOPIC: The student has some knowledge about the
topic NEPHROTIC synonyms.
• GENERAL OBJECTIVES: At the end of the classes students will able to gain complete
knowledge about the topic NEPHROTIC synonyms.

• SPECIFIC OBJECTIVES: At the end of the class students will able to:
• Define NEPHROTIC synonyms.
• Epidemiology
• Cause
• Sign and symptoms
• Diagnostic evaluation
• Management
• Surgical management
 • Nursing management
• Health education
• Summary
• Conclusion
• Bibliography

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
INTRODUCTIONS:
1 INTRODUCTION
2 min NEPHROTIC syndrome is a
condition that cause the What is
kidney to leak large amount NEPHROTIC
of protein into the urine. synonyms?
This can lead to a range of Lecturer cum
problems including swelling Discussion
of a body tissue and a greater
changes of catching infection .

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
DEFINITION:
 3 min
2 DEFINITION
Manifestation of glomerular What is
disease, characterized by Lecturer defined of
NEPHROTIC range proteinuria Cum NEPHROTIC
and a triad for a clinical Discussion synonyms
associate with large urinary
losses protein.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
 Epidemiology :
3 2 min EPIDEMIOLOGY
What is
Incidence: 2.7 new cases/
epidemiology
100,000 children per year
Lecturer cum discussion of
• Sex predilection: 2:1 () in
NEPHROTIC
childhood; sex difference
synonyms
wanes by adolescence
Increased familial incidence
(siblings)
• Mean age of onset 3.4 year
(Asians) and 4.2 Year
(Europeans)
• African American and
Hispanic children have greater
incidence of NEPHROTIC
syndrome, a more severe form
and poorer prognosis

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
CAUSE:
 What is
5 min CAUSE Table 2: Causes of childhood CAUSE of
NEPHROTIC syndrome Lectures NEPHROTIC
Cum synonyms
4 Genetic disorders: Discussion

NEPHROTIC syndrome typical

– Finnish-type congenital
NEPHROTIC syndrome
FSGS
- Diffuse mesangial
sclerosis
immuno-osseous dysplasia
Proteinuria with/without
NEPHROTIC syndrome
Nail-patella syndrome

Metabolic disorders:

with/without NEPHROTIC
syndrome

February disease
Hurler’s syndrome
Lipoprotein disorders Sickle
cell disease
Mitochondrial CYTOPLASMIC

-Idiopathic :

NEPHROTIC syndrome
MCNS
FSGS
Membranous nephropathy
Secondary causes
Infections
Hepatitis B, C
HIV-1
Malaria
Syphilis

Drugs :

- Gold
Nonsteroidal anti-
inflammatory drugs
Mercury Heroin
Immunological or allergic
disorders Bee sting
Food allergens

-
S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION
OBJECTIVE AV AIDs
Sign and symptoms:
What is sign
5 7 min Sign and • Puffiness around the eyes and
symptoms (Morning) symptoms of
• Pitting over the legs. NEPHROTIC
• Pleural effusion and Lecturer synonyms
Pulmonary EDEMA Cum
• Ascites, Discussion
Hypertension,
• ANEMIA
• DYSPEPSIA
ESR >100mm/hr.
• Anorexia,
• Fatigue,
• Abdominal pain,
• DIARRHEA
S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION
OBJECTIVE AV AIDs
10 min
Diagnostic evaluation What is
6 Lecturer diagnostic
History: Cum evaluation of
Discussion NEPHROTIC
• Presenting symptoms synonyms
Renal ultrasound
Urinalysis
Laboratory results
Elevated blood urea nitrogen
• Elevated erythrocyte
sedimentation rate
Elevated ASO
Elevated creatinine
• Electrolyte imbalance
Diagnostic evaluation
• History

Clinical manifestations

Laboratory results
• Urinalysis (3 to 4+ protein)
• Possible microscope
 HYPOALBUMINIA

Elevated cholesterol
• Elevated triglycerides

Elevated

HEMOGLOBIN and
HEMATOCRIT
Elevated platelets
Elsevier items and derived
items 2007, 2002 by Saunders,
an imprint of Elsevier Inc.
Slide 36
S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION
OBJECTIVE AV AIDs
MANAGEMENT:
10 min MANAGEMENT: What is
The objectives of treatment Lecturer cum discussion management
7 are: of
1. Control of infection NEPHROTIC
2. Normal adjustment of the synonyms
disturb process
3. Control of
EDEMA.
4. Promotion of good nutrition
 5. Promotion of good physical
and mental hygiene.

SURGICAL MANAGEMENT:-
Renal transplant

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs

NURSING MANAGEMENT:

1. Impaired urinary
elimination related to Na and
water retention.
2. Excess fluid volume related
to EDEMA
3. Imbalance nutrition less
than body requirement
 related to damage
metabolism.
4. Anxiety related
hospitalization of child and
caring for child with a chronic
disease.

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
HEALTH HEALTH EDUCATION:
Education
5 min Routine nursing management
includes:
■Semi-quantification of urine Lecturer
protein losses ( all urine Cum
specimens) Discussion
■ Daily weighing
Pulse and blood pressure
monitoring
 Prevention of infection and
appropriate isolation
Careful fluid balance with
recording of oral/parenteral
input and measurement of
urine output
Parental information,
education, support and
reassurance
■ Maintaining child mobility
and morale

SUMMARY

Nephrotic syndrome is a kidney disorder that causes your body to pass too much protein in
your urine. Nephrotic syndrome is usually Kidney cross to the clusters of small blood vessels
in your kidneys that filter waste and excess water from your blood.
 CONCLUSION

NS/FSGS are related disorders with widely divergent renal outcomes and have a strong
genetic component.
Multiple modes of inheritance
Good history and physical examination as well as counselling is required.
• Accurate diagnosis depends on careful clinical assessment and pedigree analysis,
supplemented by routine histopathology, specific immunochemical studies and molecular
genetic analysis.
• Prospective therapeutic trials in NS/FSGS may be based on new genetic information
 BIBLIOGRAPHY

https://emedicine.medscape.com/article/244631- overview
▸https://en.wikipedia.org/wiki/Nephrotic syndrome
https://www.mayoclinic.org/diseases- conditions/nephrotic-syndrome/symptoms-
causes/syc-20375608
http://www.renalmed.co.uk/database/nephrotic- syndrome
http://www.kidneyfund.org/kidney-disease/other- kidney-conditions/nephrotic-
syndrome.html
https://nurseslabs.com/nephrotic-syndrome/