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nephrotic_syndrome [2022/08/05 22:52] – [nephrotic syndrome] gary1nephrotic_syndrome [2022/08/05 22:54] (current) – [ED Mx of the adult with suspected acute nephrotic syndrome] gary1
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   *ECG   *ECG
   *FBE, U&E, LFTs, glucose as initial investigations and consider venous blood gas and ketones in diabetic   *FBE, U&E, LFTs, glucose as initial investigations and consider venous blood gas and ketones in diabetic
-  *FWT urine looking for protein, blood+  *FWT urine looking for protein, blood, casts
     *normal urinary albumin is less than 25mg/dL     *normal urinary albumin is less than 25mg/dL
 +    *early morning spot urine protein:creatinine ratio (typically > 3-3.5mg protein to mg creatinine
   *start strict fluid balance chart   *start strict fluid balance chart
   *daily weigh   *daily weigh
   *avoid transfusing with serum albumin as likely to just leak out into urine   *avoid transfusing with serum albumin as likely to just leak out into urine
-  *blood pressure control eg. [[nitrates|GTN]] patch, oral [[metoprolol]]+  *blood pressure control eg. [[nitrates|GTN]] patch, oral [[ACEIs]]
   *if fluid overloaded consider starting low dose bd [[frusemide|frusemide]] - consider iv rather than oral as GIT absorption may be impaired and diuretic efficacy is impaired BUT risk of otoxicity is higher than usual   *if fluid overloaded consider starting low dose bd [[frusemide|frusemide]] - consider iv rather than oral as GIT absorption may be impaired and diuretic efficacy is impaired BUT risk of otoxicity is higher than usual
   *once nephrotic syndrome confirmed by low serum albumin and high urinary protein:   *once nephrotic syndrome confirmed by low serum albumin and high urinary protein:
nephrotic_syndrome.txt · Last modified: 2022/08/05 22:54 by gary1

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