← Chapter 13
Maternal-Newborn & Paediatric Nursing · Chapter 13

Two Swollen Children and One Ketoacidosis

Nephrotic syndrome and acute glomerulonephritis both produce a puffy child with abnormal urine, and they are managed almost oppositely — so sort the findings until the difference is automatic. Then calculate a capped steroid dose, and run a 16 kg child through ketoacidosis hour by hour, where the whole lesson is the sequence: fluids first, insulin second, potassium before it falls, and the brain watched throughout.

Work it through

One finding at a time. Put it where it belongs — and if it belongs to both, say so.

 
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Sort the findingsNephrotic, nephritic, or both
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