Pediatric Nursing Demystified

Serum: Elevated cholesterol, decreased albumin, and elevated platelet count

Renal biopsy: Identifies type of nephritic syndrome

Treatment

Administer prednisone (Deltasone) to reduce inflammation.

Administer albumin (Albuminar) intravenously (IV) to replace serum

albumin and return to normal fluid balance.

Administer furosemide (Lasix) IV to increase urination.

Administer antihypertensive medication if the child has hypertension.

Administer antibiotics to prevent infection due to the administration of

prednisone (Deltasone).

Restrict dietary salt.

Nursing Intervention

Daily weights.

Strict intake and output.

Monitor for pulmonary congestion.

Monitor for signs of infection.

Take precautions to avoid infection.

Maintain adequate nutrition.

Monitor for electrolyte imbalance.

Explain the disorder and treatment to the family.

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(^266) Pediatric Nursing Demystified

1. A parent of a child who was diagnosed with hemolytic uremic syndrome asks you
   why the child must be weighed every day. What is the best response?
   a. To measure the child’s daily fluid intake
   b. To assess if the condition has negatively influenced the child’s growth
   c. To assess if the child is retaining fluid
   d. To determine if the child is adhering to dietary restrictions
   Answer:


2. What should you alert to if the patient is being given corticosteroids to reduce
   inflammation?
   a. Renal failure
   b. Infection because the immune system is surprised
   c. Hypertension
   d. Elevated sodium levels
   Answer:

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