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Childhood Nephrotic Syndrome - Why is keeping a diary important?

 
Page 8

Diary2 cartoon

The urine test results will show if your child is responding to the prescribed treatment. If your child has a large amount (2+) of protein in the urine for three days in a row this could mean there is a RELAPSE of the condition and you should contact your doctor / renal nurse. If your child has NO protein in the urine he/she is in REMISSION and should be well. Records that are complete and accurate give the doctor a good idea on your child’s general health and progress and this record should be brought to each clinic visit.

Below is an example of how to record your child's progress:-

DATEURINE TESTPREDNISOLONE DOSEOTHER TREATMENTCOMMENTS
1988 April
1
N (negative) 10mg --- Cold
2 0.3g (trace) --- --- Well
3 N (negative) 10mg --- Well
4 N (negative) --- --- Well
5 N (negative) 10mg --- Well
6 N (negative) --- --- Well
7 1.0g (++) 10mg --- Pale and not feeling well
8 3.0g (+++) --- --- Unwell
9 3.0g (+++) 10mg --- Unwell
10 >5g (+++++) --- --- Puffy around eyes
Phone Doctor

How you record the urine test will depend upon the testing sticks used.

<< page 7                                          Contents Page                                           page 9 >>

Content compiled by members of the Children’s Renal & Urology Unit, QMC Campus, Nottingham University Hospitals.


The National Kidney Federation cannot accept responsibility for information provided. The above is for guidance only. Patients are advised to seek further information from their own doctor.

NKF Controlled Document No. 136: Why is keeping a diary important? written: 10/09/2004 last reviewed: 14/11/2020