Nursing Staff Duties and Resposibilities
Tag: Nursing
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PGIMER Recruitment for Medical Paramedical Nursing Jobs in Chandigarh
PGIMER Recruitment for Medical Paramedical Nursing Jobs in Chandigarh at Post Graduation of Medical education Research Chandigarh Applications are invited on Pain Paper to the post of junior Research fellow in the ICMR founded project entitled to “Study Endothelial to mesenchymal Transitioning Changes in the myocardium of Diabetic subject With & without cardiomyopathy” under Project at PGIMER Chandigarh has invited for following Jobs Junior research Fellow
Get More about Name of the post, Number of vacancy, Educational Qualification, Upper age limit,Monthly salary, Starting Date of the Application,Last date of the Application, How to apply, PGIMER Recruitment for Medical Paramedical Nursing Jobs in Chandigarh Selection mode, Type of Recruitment Details Given Below,
PGIMER Recruitment for Medical Paramedical Nursing Jobs in Chandigarh
Type of Recruitment: Purely and temporory Basis
Recruitment Conducted by: Post Graduation of Medical education Research Chandigarh
Total numbers of vacancy: 01 post
Starting date of the Application: 01-02-2018
Last date of the Application: 19-02-2018
Job location: Chandigarh
Job category: Purely on temporary Basis
PGIMER Recruitment 2018 for Junior Research Fellow
Name of the post: Junior Research Fellow
Number Of vacancy: 01 post
Essential Qualification: Masters 1st class in Life Sciences,
Micro Biology, Bio Chemistry, Immunology, Biotechnology, Molecular biology,
Cell Biology,
Desirable Qualification: NET/Gate clear Candidate
Upper age limit: Minimum 28 years (Relax able in Case of SC/ST/OBC/PH/
Women Candidates as per Rules)
Monthly salary: Consolidated Salary Rs.25000/- per Month,
How to apply
Application Mode: Bio Data Send by registered Post,
Mode of Selection:
Selections made by Walk in interview
Starting date of The Application: 01-02-2018
Last date of the Application: 19-02-2018,
Important Instruction to Candidates
Note: Interested Candidates fulfilling the above
Conditions are required to submit their complete Bio-data duly signed and
Enclosing Their with Photocopies of certificates / testimonials in
Support of date of birth Qualification/ Experience etc.
Affixed with Latest Photograph on it by 19-02-2018 at 1:00 Pm in the office of
Histophothology 5th floor, Research Block -A, PGIMER and to
Appear to personal interview along with original Certificates
No interview letters will be sent. No TA/DA will be paid
Important Links
PGIMER Recruitment for Medical Paramedical Nursing Jobs in Chandigarh Download
PGIMER Recruitment for M.A./M.Sc.in Health Economics/ MPH & PhD
Post Graduation of Medical education Research Chandigarh Applications from eligible candidates are invited for following posts on ad hoc Basis in School of Public Health invited for following jobs Senior Demonstrator (Health Economics), Junior Demonstrator (Health Economics)
Get More about Name of the post, Number of vacancy, Educational Qualification, Upper age limit, Monthly salary, Starting Date of the Application, Last date of the Application, How to apply,Selection mode, Type of Recruitment Details Given Below,
PGIMER Recruitment for M.A./M.Sc.in Health Economics/ MPH & PhD
Type of Recruitment: Purely on Temporary Basis
Recruitment Conducted by: Post Graduation of Medical education Research Chandigarh
Total number of vacancy: 02 Posts
Last date of the Application:17-02-2018
Job location: Chandigarh
Job category: Purley on Temporary Basis
PGIMER Recruitment for Senior Demonstrator (Health Economics)
Name of the post: Senior Demonstrator (Health Economics)
Number of vacancy: 01 Post
Educational Qualification:M.A./M.Sc.in Health Economics/ MPH & PhD
Upper age limit: Minimum 33 years
Monthly salary: As PGI Regulations
How to apply
Attend walk in Interview along with Biodata
Mode of Selection:walk in Interview
Last date of the Application: 17-02-2018,
Important Instructions
Note: Applications duly completed and signed by the eligible candidates along-with
Attested copies of the testimonials by a Gazetted Officer of qualifications held by
Those for above mentioned posts must reach in the office (Room No.109) of
School of Public Health by 3 PM on 15th February, 2017. The interview of eligible
candidates shall be held on 17th February, 2017 at 10.00AM in the office of Head,
School of Public Health, PGIMER, Chandigarh.
No separate letters for interview shall be sent and no TA/DA for attending
Interview shall be paid.
Important Links
PGIMER Recruitment for M.A./M.Sc.in Health Economics/ MPH & PhD Notification
PGIMER Recruitment for Lab Technician Jobs
Post Graduation of Medical education Research Chandigarh Applications are invited for the following post For an Indian Council of Medical Research (ICMR) Project entitled “Comparison of the efficacy of At 7 days versus 14 day course of intravenous Antibiotics in the treatment of uncomplicated Neonatal bacterial sepsis: a randomized Controlled non–inferiority trial” under Dr. Sourabh Dutta, Professor, Department of Pediatrics, PGIMER, Chandigarh. Invited For following medical Lab Technician Jobs.
Get More about Name of the post, Number of vacancy, Educational Qualification, Upper age limit, Monthly salary, Starting Date of the Application,Last date of the Application, How to apply,Selection mode, Type of Recruitment Details Given Below,
PGIMER Recruitment for Lab Technician Jobs
Type of Recruitment: Purely on Contract Basis
Recruitment Conducted by: Post Graduation of Medical education Research Chandigarh
Total Numbers of vacancy: 01 post
Starting Date of the Application: 15th February, 2018
Last Date of the Application: 17th February, 2018
Job category: Purley on contract Basis
Job location: Chandigarh
PGIMER Recruitment for Medical Lab Technician Jobs
Name of the post: Lab Technician
Number of vacancy: 01 post
Educational Qualification: Either 12 standard pass in science subjects
AND 2 years diploma in medical laboratory technology
OR 1 year diploma in medical laboratory technology + 1 year experience
In a government institute (Bs.c degree holders will be treated as 3 years Experience
Upper age limit: Minimum 30 years
Monthly Salary: Consolidated salary Rs. 18,000 per month
How to apply
Important dates of the application:
Starting Date of the Application: 15th February, 2018
Last Date of the Application: 17th February, 2018
Mode of application: online Application
INTERVIEW DATE AND TIME:
9:30 am on Saturday, 17th February, 2018 in Newborn Unit (NICU) located as above.
No TA/DA will be paid for the interview
Important notes:
If the number of applicants is too many,
A written MCQ-based test will be held
At 9:30 am on Friday, 16th February 2018,
To shortlist candidates for interview.
Venue of written test will be informed by email.
Important Links
PGIMER Lab Technician jobs in Chandigarh official Notification
PGIMER Recruitment for Junior Research Fellow Jobs
Post Graduation of Medical education Research Chandigarh Applications are invited for the following Temporary/ adhock post under A Department of science and technology and ministry of Foreign Affairs and international cooperation Italy Sponsored collaborative Research project entitled: “Genetic Basic of early onset systemic lupus
Emphysematous in India and Italy “(Dr. Amithrawath, Principal investigator Additional Professor, Department of Pediatrics invited for following jobs Junior Research Fellow
Get More about Name of the post, Number of vacancy, Educational Qualification, Upper age limit,Monthly salary, Starting Date of the Application,Last date of the Application, How to apply,Selection mode, Type of Recruitment Details Given Below,
PGIMER Recruitment for Junior Research Fellow Jobs
Type of Recruitment: parley on temporary basis
Recruitment Conducted By: Post Graduation of Medical education Research Chandigarh
Total number of vacancy: 01 post
Starting date of the online Application: 8th February 2018
Last date of the online Application: 9th February 2018
Job location: Chandigarh
Job category: Purley on temporary basis
PGIMER Recruitment for Junior Research Fellow Jobs 2018
Name of the Post: Junior Research Fellow
Number of vacancy: 01 post
Educational Qualification: Master of Science in life sciences
Preferably Biotechnology/immunology
Desirable Qualification: NET/GATE/BET qualified with hands on experience in
Molecular biology techniques
Upper age limit: not more than 28 years
Monthly salary: Rs.25, 000/-per month plus HRA As per Rules
How to apply
Important dates of the application:
Starting Date of the online Application: 8th February 2018
Last date of the online Application: 9th February 2018
Mode of application: online Application
Note: interested candidates fulfilling the above Conditions are required
To submit their applications with complete bio-data And photograph along with copies of certificates
Important Links
PGIMER Recruitment for Junior Research Fellow Jobs official Notification
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Telangana Staff Nurse Vacancy and Paramedical Recruitment
Telangana Staff Nurse Vacancy and Paramedical Recruitment National Health Mission and DM&HO Yadadri Bhuvanagiri have recently invited offline applications from eligible candidates for following jobs. Staff nurse, Data entry operator,
Who are waiting for National Health Mission Nursing Jobs and paramedical Jobs, It is Good time for Applying these Staffnurse, Data Entry jobs through Offline application by Registered post or Submit by personally,
Get more about Name of the post, Number of vacancy, Educational Qualification, Upper age limit, monthly salary, How to apply. Selection mode, details given below,
NHM Telangana Staff nurse Jobs in Yadadri Bhuvanagiri District,
Type of recruitment: Contract basis
Recruitment conducted by: DM&HO Yadadri Bhuvanagiri
Total Number of vacancy: 14 posts
Submission of the Offline application Starting date: 02-01-2018
Last date of the offline application: 05-01-2018
Job category: Contract basis
Job location: Telangana
DM&HO Yadadri Bhuvanagiri NHM Telangana Staff Nurse Vacancy 2018
Name of the post: Staff nurse
Number of vacancy: 07 posts
Educational Qualification: Degree Bs.c General nursing midwifery
Desirable Qualification: Should be registered with Telangana nursing council
Upper age limit: As for Telangana State Govt Rules
Monthly salary: Rs. 14900/-per month,
NHM Telangana Data Entry Jobs in Yadadri Bhuanagiri District
Name of the post: Data entry operator
Number of vacancy: 07 posts
Educational qualification: Any degree graduate Diploma in computer application in 2 years experience M.s office
Upper age limit: As for Telangana govt Rools
How to apply,
Mode of the application: offline mode
Interested Candidate Download Official Notification and Application Form read it care fully then Collect all Needed Documents fill it application form then Submit personally or by registered post
Starting date of the offline Application: 02-01-2018
Last date of the offline Application: 05-01-2018
Get official Notification of Telangana Staff nurse Vacancy and Paramedical jobs Notification and Application form Download Here
NHM Staff Nurse jobs in Telangana Paramedical jobs 2018 in Nalgonda
National Health Mission jobs 2018 in DM& HO Nalgonda Recently invited for following jobs on contract basis for the period of 1 year for staff nurse Posts, Medical Officer, Psychiatrist, Statistical Assistant, Dental Hygienist, Dental Surgeon, Audiologist,etc..
National Health Mission jobs Under following different programs i,e. Delivery points,NCD Screening, Break milk bank ,National Mental health programme, National programme for privation and control of Deaf ness,National programme for health care of the Elderly (NPHCE),Palliative, Revised national Tuberculosis Control programme, National oral health programme (NOHP)
Get more about, Name of the post, Number of vacancy, Educational Qualification, Upper age limit, Monthly salary,
NHM Nursing jobs in Telangana Paramedical jobs 2018
Submission of the online application Starting date: 27-12-2017
Last date of the online application: 04-012018
Type of recruitment: contract basis
Recruitment conducted by: NHM jobs in DM&HO office of the superintendent dist.headquarters hospital
Total numbers of vacancy: 33 posts
Job location: Telangana
Job category: Contract basis
NHM Staff Nurse jobs 2018 in DM&HO Nalgonda
Name of the post: Staff nurse
Number of vacancy: 06 posts
Educational qualification: BSC. Nursing Four years Degree Course from Got recognized Nursing College or Post Basic B Sc Nursing from Indian nursing Council Recognized Nursing College,
GNM- General Nursing Midwifery Three years Six months course from Govt recognized Nursing School,
Desirable Qualifications: Every Candidate should have Valid Telangana Nursing and Midwifery Council, Registered with TS Nursing council as Registered Nurse
Upper age limit: 18 years to 44 years
Monthly salary: Rs.14, 900/- per month
NHM Telangana jobs for Medical officer
Name of the post: Medical officer
Number of vacancy: 01 posts
Educational Qualification: MBBS degree or an Equivalent qualification as entered in the schedule to the Indian Medical council
Upper age limit: 18 years
Monthly salary: Rs.30000/- per month
NHM Telangana Govt jobs for Staff nurse
Name of the post: staff nurse
Number of vacancy: 04 post
Educational Qualification: B.Sc nursing or GNM Registered with Telangana nursing council
Upper age limit: 18 to 44 years
Monthly salary: Rs.12900/- per month
NHM jobs for Psychiatrist
Name of the post: Psychiatrist
Number of vacancy: 01 post
Educational Qualification: MD in psychiatrist or equal ant degree from institution recognized by Medical council of India
Experience: 2 years experience of working as in specialist in Hospital
Upper age limit: 18 To 44 years
Monthly salary: Rs.1, 00,000/- per month.
NHM jobs for Audiologist
Name of the post: Audiologist
Number of vacancy: 01 posts
Educational Qualification: A technical person with 4 years of gradation in audio logy of speech Language of pathology Provision of Audio logical services prescribing hearing aids Assistant in training Programs in Maintenance of database
Upper age limit: 18 to 44 years
Monthly salary: Rs. 15000/- per month
NHM jobs for instructor for hearing impaired children
Name of the post: Instructor for hearing impaired children
Number of vacancy: 01 post
Educational Qualification: MED Master in Education for hearing impaired for BED Bachelor of Education for hearing impaired DSE Diploma in special education for hearing impaired from a recognized institute
Upper age limit: 18 to 44 years
Monthly salary: Rs. 15000/- per month
NHM jobs for Consultant medicine
Name of the post: consultant medicine
Number of vacancy: 02 posts
Educational Qualification: MD in Medicine or equal ant degree from institution recognised by Medical council of India
Upper age limit: 18 to 44 years
Monthly salary: Rs.50, 000/-per month
NHM jobs for Nurses (GNM)
Name of the post: Nurses (GNM)
Number of vacancy: 06 posts
Educational qualification: Degree Bs.c Nursing or GNM Registered with Telangana state nursing council
Upper age limit: 18 to 44 years
Monthly salary: Rs. 20,000/- per month
NHM jobs for Physiotherapist
Name of the post: Physiotherapist
Number of vacancy: 01 post
Educational qualification: Bachelor degree in Physiotherapy from any university in India and registered with paramedical Board
Upper age limit: 18 to 44 years
Monthly salary: Rs. 20,000/- per month
NHM jobs for Physicians MD Medicine
Name of the post: Physicians MD Medicine
Number of vacancy: 01 post
Educational Qualifications: MD General Medicine with 3 years Experience
Upper age limit: 18 to 44 years
Monthly salary: Rs.60000/-per month
NHM jobs for Nurses
Name of the post: Nurses
Number of vacancy: 04 posts
Educational qualifications: Bs.c nursing or GNM Registered with Telangana state council
Upper age limit: 18 to 44 years
Monthly salary: Rs.17030/- per month
NHM jobs for Senior Medical officer
Name of the post: Senior Medical officer
Number of vacancy: 01 post
Educational Qualification: MBBS in equal ant degree from institution recognised by Medical council of India
Upper age limit: 18 to 44 years
Monthly salary: Rs.45000/-per month
NHM jobs for Statistical assistant
Name of the post: Statistical assistant
Number of vacancy: 01 post
Educational qualification: Graduate in any disiplane With Diploma ion computer Application or equal ant recognised by the council for technical Education
Upper age limit: 18 to 44 years
Monthly salary: Rs. 19000/-per month
NHM Jobs for Dental surgeon
Name of the post: Dental surgeon
Number of vacancy: 01 posts
Educational Qualification: BDS from recognised by dental council of India At least two years of working Experience in a hospital
Upper age limit: 18 to 44 years
Monthly salary: Rs.35000/-per month
NHM jobs for Dental Hygienist
Name of the post: Dental Hygienist
Number of vacancy: 01 post
Educational Qualification: 10+2 science with recognized board Diploma in Dental Technician Mechanic course from a Govt Recognized university registration With State Dental council
Upper age limit: 18 to 44 years
Monthly salary: Rs.15000/- per month
NHM jobs for Dental Assistant
Name of the post: Dental Assistant
Number of vacancy: 01 post
Educational qualification: Matriculation From recognized Board Two tears experience in a dental college /clinic
Upper age limit: Below 18 to 44 years
Monthly salary: Rs.10000/- per month
Note:- Certificates of academic and technical qualifications such as marks lists pass
Certificates, provisional certificate, testimonials and other certificates to prove their professional skills, Council Registrations if any.
Certificate evidencing date of birth.
Physical disability certificates issued by the competent authority for those claiming reservation and age relaxation
A Self addressed long envelope duly stamped with a postage of Rs. 25/-.
How to Apply
Mode of apply: off line mode
Important date of the application:
Starting date of the application: 27-December -2017
Last date of the application: 04-January -2017
Important Links
Get more about Telangana Staff Nurse Vacancy and Paramedical Recruitment in Nalgonda Official Notification Download Here
Telangana Staff Nurse Vacancy 2018 for GNM Jobs
Telangana Staff Nurse Vacancy 2018 For GNM Jobs Government Of Telangana District Medical And Health Officer: Jskr-Bupalpally Dist Recruitment of Certain Posts Under Various Schemes
Post to be recruited along with the details of remuneration scheme(Programmers) are as follows
in jayashankar – Bupalpally Dist. Recently infatuated for following jobs Delivery points , NCD screening (PHCs), CHC NCD Clinic ( NPCDCS) (CHCs), District NCD Clinic , RNTCPGet more about Name of the post, Number of vacancy, Educational qualification, Upper age limit, Monthly salary, Details given below
Telangana staff Nurse Vacancy 2018 for GNM jobs
Recruitment conducted by : Government of Telangana Dist medical and helth officer: JSKR Bupalpally dist
Stating date of the off line application:
Last date of the online application:05-01-2018
Total Number of vacancy: 50 posts
Job category: Contract basic
Job location: Telanagna
Telangana staff nurse vacancy for delivery Points, NCD screening (PHCS)
Name of the post : Staff Nurse (Delivery points, NCD screening (PHCs)
Number of vacancy:31 posts
Educational qualification: B.Sc (Nursing) or GNM General Nursing Midwifery. Registered with TS Nursing Council
Upper age limit: Minimum age 18 to 44 years
Monthly salary: Rs. 14,900/- per month
Telangana staff nurse vacancy for staff nurse
Name of the post : Staff Nurse
Number of vacancy: 37 posts
Educational qualification: B.Sc (Nursing) or GNM General Nursing midwifery Registered with TS Nursing council
Upper age limit: Minimum age 18 to 44 years
Monthly salary : Rs.14, 900 /- per month
Telangana Councilor Vacancy for Counselors
Name of the Post: Counselors
Number of vacancy: 05 Posts
Educational qualification: Bachelors degree in social sciences or Degree/ Diploma in counseling/Health education/Mass Communication.
Upper age limit: Minimum age 18 to 44 years
Monthly salary: Rs. 10,000 /- per month
Telangana Govt jobs vacancy for Lab technician
Name the post : Lab Technician
Number of vacancy : 05 posts
Educational qualification: Intermediate DMLT or B.Sc (LT) from recognized institution.
Must be registered with the Para medical board
Upper age limit: Age 18 to 44 years
Monthly salary: Rs .9, 450/- per month
Telangana NHM vacancy for physician
Name of the post: Physician
Number of vacancy : 01 post
Educational qualification: MD – General Medicine with (3) years experience.
Upper age limit: minimum age 18 to 44 years
Monthly salary: Rs. 60,000/- per month
Latest Physiotherapy Govt Jobs 2018
Name of the post: Physiotherapist
Name of vacancy: 01 post
Educational qualification: Bachelors Degree in physiotherapy from any recognized university in India and registered with TS Paramedical Board. With three years of experience.
Upper age limit: minimum age 18 to 44 years
Monthly salary: Rs. 20,000/- per month
Telangana Govt jobs vacancy for District program coordinator
Name of the post: District program coordinator
Number of vacancy: 01 post
Educational qualification: MBA/PG Diploma in management/ Health Administration from recognized Institute / University.
Upper age limit: minimum age 18 to 44 years
Monthly salary: Rs. 22,000/- per month
Important dates for online application:
Last date of online application: 05-01-2018
How to apply
Mode of application: off line mode,
National Health Mission and DM&HO Professor Jaya Shanker and Bhupalapally Telangana Staff Nurse Vacancy and Paramedical Recruitment Notification Download
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JKSSB Recruitment 2018 for Staff Nurse Posts in Health and Family Welfare
JKSSB Recruitment 2018 for Staff Nurse Posts in Health and Family Welfare Government of Jammu and Kashmir J&K Service selection Board Advertisement board for Jammu division Cadre post of senior grade nurse Health and medical Department’s Online Applications are invited for interested Candidates for participating in the selection Process for the Jammu division
Senior grade Staffnurse
Get more about JKSSB Recruitment 2018 for Staff Nurse Posts in Health and Family Welfare Jammu and Kashmir Latest State Govt Nursing jobs for B Sc GNM , Name of the post, Number of vacancy, Educational Qualification, Upper age limit, Monthly salary, Details Given below,
JKSSB RECRUITMENT 2018 For Staff Nurse Posts in Health and Family Welfare
Type of recruitment: Regular basis
Recruitment Conducted by: Jammu Kashmir and J&K Sarvies Selection Board
Submission of the on line Application Starting date : 06.12.2017
Last date of the Application: 30.12.2017
Total number of vacancy: 89 Posts
Job location: Jammu Kashmir
Job category: Regular Basis
JKSSB Recruitment 2018 for Staff Nurse Posts in Health and Family Welfare
Name of the post: Senior Grade Nurse
Number of vacancy: 89 posts
Educational Qualification: 10+2 B.Sc Nursing degree
Upper age limit: UR 48 years
Monthly salary: Rs.9300-34800 GP 4200
How to Apply JKSSB Jobs 2018
Application mode: Online Application
Application fee: Rs 350/-
Important Dates for the Application,
Starting date of the application: 06-12-2017
Last date of the application : 30-12-2017
Important Links
For online apply Click Here
Get more JKSSB Recruitment 2018 for Staff Nurse Posts in Health and Family Welfare official Notification Download Here
JKSSB Recruitment 2018 for Nursing jobs in Health and Family Welfare
Government of Jammu Kashmir J&K Services selection Board Adverstiment for Jammu division cadre post for junior grade Nurse Online application are invited for interested candidates invited for following jobs Junior grade Nurse
Get more about, Name of the post, Number of vacancy Educational Qualification, Upper age limit, Monthly salary Details Given Below,
JKSSB Recruitment 2018 for Staff nurse jobs in health and family welfare
Type of recruitment: Regular basis
Recruitment conducted by: Jammu Kashmir and J&K services selection Board
Starting date of the online Application: 06-12-2017
Last date of the online application: 30-12-2017
Total number of vacancy: 200 posts
Job category: Regular Basis
Job location: Job location
JKSSB Recruitment 2018 for Staff Nurse Vacancy in health and family welfare
Name of the post: Junior grade nurse
Number of vacancy: 200 Posts
Educational Qualification: 10+2 Diplomo in General nursing
Upper age limit: 18years to 40years
Monthly salary: Rs.5200-20200 Gap 2400
Important Dates of Application’
Starting date of the application: 06-12-2017
Last date of the application : 30-12-2017
How to apply JKSSB Staff Nurse jobs:
For online application Click Here
Application Mode: Online mode
Application fee’s : Rs.350 /-
Important Links
Get more JKSSB Recruitment 2018 for Nursing Recruitment in Health and Family Welfare official Notification Download Here
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Nephrotic Syndrome Signs and Symptoms Management Nursing Care
Nephrotic Syndrome Signs and Symptoms Management Nursing Care It is a clinical state in which a group of symptoms that can be developed in many renal diseases. In which abnormal increased permeability to pass plasma proteins. Proteninuria increases and plasma proteins decrease.
The main characteristics of Nephrotic syndrome are edema, Proteninuria, hypolabunaemia; hypercholesteremia the cause is known resteraemia. Increased Permeability of the Glomerulus leading to loss pf Proteins in to the tubles
Classification Nephrotic Syndrome
(i) Minimal change Nephrotic syndrome.
(ii) Secondary Nephrotic syndrome
(iii) Congenital Nephrotic syndrome (usually die by second year of life).
Signs and Symptoms of Nephrotic Syndrome
- Proteinuria
- Hypoalbumineamia, general health loss of appetitie.
- Hyperlipemia.
- Generalized dependent edema, especially genital, periorbital and abdominal (ascitis).
- Symptoms of nephritis hematuria and hypertension.
- Weight gain.
- Vomiting anorexia and diarrhea.
- Child becomes irritate & fatigued.
- Urine output decreases.
- Muscle wasting and pallor skin.
- Frothy Urine,
- Leukonychia,
- DVT – Deep Vein Thrombosis,
- MI- Mayocardial Ischemia,
- Leukonychia,
- Blood Pressure Normal or Raised,
- Generalized symptoms – Reduced appetite, Lethargy, Fatigue,
Cause for Nephritic Syndrome
- Primary Glomerulus Nephritis,
- Secondary Glomerulus Nephrotic Syndrome,
Secondary Glomerulus Nephrotic Syndrome Causes,
- Diabetic Nephropathy,
- Cancer,
- Vasculitis,
- Sarcodosis,
- Amyloidosis,
- Multiple Myeloma,
- Infections i,e. Hepatitis B, Syphylis, HIV,
- Drugs i,e NSAIDs, Pencilamine, Gold, Captopil,
Nephrotic Syndrome Pathophysiology
Diagnostic Evaluations for Nephrotic Syndrome
- Urine analysis for proteins, casts and specific gravity.
- Blood for total serum protein and albumin and globulin levels.
- Erythrocyte sedimentation rate.
- Serum cholesterol.
- Immmunoglobulin,
- Electrophorosis,
- Renal Ultra Sound,
- Renal Biopsy in Audults,
Nephrotic Syndrome Treatment: Conservative Therapy,
- Monitor Urine Output and Urine Examination,
- Blood Pressure Monitoring,
- Fluid and Electrolyte Balance,
- Weight,
Medical Managemnt for Nephrotic Syndrome:
- Diuretics,
- ACE- Inhibitor,
- Cortico Steroids / Immuno Suppresents,
Supportive therapy is given
- Salt restricted diet is given.
- Corticosteroid therapy are given for 4 weeks & response to therapy usually takes within 7 to 21 days.
- However the dose of gradually discontinue when satisfactory response is noted.
- Immuno suppressant therapy for children who do not respond to steroids or those who have frequent relapses eg: chlorambucil (Leukean), cyclo sporine (sand immune), cyclophosphamide (cytoxan).
- Diuretics are used to relieve oedema in severe anasarca.
- Antibiotics are used to treat the infection.
- Abodminal paracentesis is done to relieve thepressure in case of breathlessness.
Nephrotic Syndrome Surgical Management
- Renal Transplant,
Nephrotic Syndrome Nursing Care
- Assess the vital signs of Blood pressure and monitor them frequently.
- Maintain fluid balance and the requirement is calculated according to the output and weight of the child.
- Record the daily weight and it whould be compared with oedema and output which should be done daily.
- Daily urine examination is done for specific gravity and albumin.
- Measure the abdominal girth daily to assess the oedema.
- The diet should be low in sodium and high in proteins.
- The Dyspnea due to ascitis is relieved by sitting position and abdominal paracentesis to relieve upward pressure on the diaphragm.
- Observation of early signs of infection is necessary as both disease state and drug therapy increases the susceptibility. Thus the child should be protected from others who are ill. Teach the parents the signs of impending infection and encourage them to seek medical care.
- Malnutrition caused by loss of proteins and poor appetite, so the child should take diet containing high protein. For example eggs, milk, pulses, soya bean and groundnuts and restrict the fluids if ordered.
- Proteins may be given 4 to 5 g / kg of body weight according to serum protein levels and tolerance of the patient.
- Adequate calories should be supplied. Feeds may be small & frequent.
- Encourage the patient in Fowler’s position to decrease pressure against diaphragm, as the patient has respiratory difficulty caused by ascitis.
- Care of the oedematous skin must be done by positioning and by giving skin care and cleaning and keeping the skin dry. Powder may be applied and in male child having oedematous scrotum, the scrotal support is required with ‘T’ bandage to prevent friction.
- Explain and educate the child and provide psychological support as the child would be disturbed due to body image disturbance.
- Encourage the child to participate in own care.
- Help the parents to understand that mood swings are influenced by physical condition.
- Encourage for divisional activities that provide satisfaction.
Parental Advice:
- Explain the parents about the need of follow up and risk of relapse.
- Emphasize on high protein diet.
- Demonstrate urine test for albumin.
- Explain about administration of the medicine and its continuation.
- The maintenance of the medicine and its continuation.
- The maintenance dose should be explained which may be over 8 to 12 months period.
- Parents should be told about the side effects such as Cushing O aid appearance, gastro intestinal bleeding sodium retention and hypokalemia.
Nephrotic Syndrome Complications: Immuno suppressive therapy resulting in recurrent infection.
- Hyper coagulability.
- Urinary infection,
- Pleural Effusion,
- Ascities,
- Thrombosis,
- General Oedema,
- Recurrent Infections,
- Growth retradations,
- Calcium & Vitamin D Deficiency,
- Protein Energy Malnutrition,
