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How to treat nephrotic syndrome with hypoproteinemia

The symptoms of proteinuria and edema can occur in patients with nephrotic syndrome. A few patients can also have hypoalbuminemia. Once the hypoalbuminemia is found, patients should be treated in time, and diet therapy and intravenous drip...

How to treat nephrotic syndrome with hypoproteinemia

Dec 29, 2017 by Kidney Disease Expert

The symptoms of proteinuria and edema can occur in patients with nephrotic syndrome. A few patients can also have hypoalbuminemia. Once the hypoalbuminemia is found, patients should be treated in time, and diet therapy and intravenous drip of albumin can be applied.

Diet therapy

Patients with nephrotic syndrome are usually negative nitrogen balance, if the intake of a high-protein diet, it may turn into a positive nitrogen balance. However, patients with nephrotic syndrome, high protein intake will lead to increased urinary protein, increased glomerular damage, and plasma albumin levels did not increase.

Therefore, the patient's daily protein intake of 1g / kg, plus the daily loss of protein in the urine, every intake of 1g of protein must be simultaneously intake of non-protein heat card 138kJ. Supplied protein should be high quality protein, such as milk, eggs and fish, meat.

Intravenous infusion of albumin

Since intravenous albumin is lost from the urine by the kidneys within 1 day to 2 days and a large amount of intravenous albumin is immunosuppressed, hepatitis C, induced heart failure, delayed remission and increased recurrence rate, Instillation of albumin should be strictly controlled indications.

Severe systemic edema, and intravenous injection of furosemide can achieve a diuretic effect in patients after intravenous infusion of albumin, followed by intravenous infusion of furosemide, often can make the original of furosemide invalid can still get a good diuretic effect. Intravenous infusion of albumin for the use of furosemide diuretic, the clinical manifestations of insufficient plasma volume due to renal interstitial edema caused by acute renal failure.

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