What are the Usual Recommendations for Nephrotic Syndrome Patient2015-02-13 14:39
What are the usual recommendations for Nephrotic Syndrome patient ? Nephrotic Syndrome is hard to cure and easy to relapse, so as a patient with this disease they should pay high attention to every aspect of their life.
Fluid and nutrition
Creating a negative sodium balance will help reduce edema, presumably as the underlying illness is treated or as renal inflammation slowly resolves. Patients should limit their sodium intake to 3 g per day, and may need to restrict fluid intake (to less than approximately 1.5 L per day).
Diuretics are the mainstay of medical management; however, there is no evidence to guide drug selection or dosage. Based on expert opinion, diuresis should aim for a target weight loss of 1 to 2 lb (0.5 to 1 kg) per day3 to avoid acute renal failure or electrolyte disorders.
Angiotensin-converting enzyme (ACE) inhibitors have been shown to reduce proteinuria and reduce the risk of progression to renal disease in persons with nephrotic syndrome.
Intravenous albumin has been proposed to aid diuresis, because edema may be caused by hypoalbuminemia and resulting oncotic pressures. However, there is no evidence to indicate benefit from treatment with albumin,18 and adverse effects, such as hypertension or pulmonary edema, as well as high cost, limit its use.
Except the above aspect, people with Nephrotic Syndrome also should make a fir diet and form a healthy living habit under the construction of their doctor.
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