Treatment includes
(the correct amount of fluid in the body
[Specific treatment of underlying cause
Immunosupression for the glomerulonephritides (steroids,[2] cyclosporin)
Standard ISKDC Regime for first episode:Prednisolone -60mg/m2 /day in 3 divided doses for 4weeks followed by 40mg/m2/day in a single dose on every alternate day for 4 weeks.
Relapses by prednisolone 2mg/kg/day till urine becomes negative for protein.Then,1.5mg/kg/day for 4 weeks.
Frequent Relapses treated by:cyclophosphamide or nitrogen mustard or cyclosporin or levamisole.
Achieving stricter blood glucose control if diabetic
Blood pressure control. ACE inhibitors are the drug of choice. Independent of their blood pressure lowering effect, they have been shown to decrease protein loss.
Dietary recommendations
1000-2000 milligrams daily.
Foods high in sodium include salt used in dec reasing and at the table, seasoning blends (garlic salt, Adobo, season salt, etc.) canned soups, canned vegetables containing salt, luncheon meats including turkey, ham, bologna, and salami, prepared foods, fast foods, soy sauce, ketchup, and salad dressings. On food labels, compare milligrams of sodium to calories per serving. Sodium should be less than or equal to calories per serving.
Eat a moderate amount of high protein animal food: 3-5 oz per meal (preferably lean cuts of meat, fish, and poultry)
Avoid saturated fats such as butter, cheese, fried foods, fatty cuts of red meat, egg yolks, and poultry skin. Increase unsaturated fat intake, including olive oil, canola oil, peanut butter, avocadoes, fish and nuts. Eat low-fat desserts.
Increase intake of fruits and vegetables. There is no potassium or phosphorus restriction necessary.
Monitor fluid intake, which includes all fluids and foods that are liquid at room temperature. Fluid management in nephrotic syndrome is tenuous, especially during an acute flare
08-11-2008, 05:05 PM
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