top of page
© Hairuhusiwi kukopi bila kibali cha ULYCLINIC
Image-empty-state.png
Image-empty-state.png
Image-empty-state.png
Image-empty-state.png

Nephritic syndrome

Introduction

Are those which cause glomerular to leak blood or protein into urine. Glomerular disease may be a result of a primary condition of the kidney, or may be secondary to a systemic disorder.

Risk factors

Signs and Symptoms

Diagnostic criteria

• Proteinuria
• Reduced GFR (and its effects)
• Haematuria
• Hypertension
• Oedema.

Investigation

• Renal function test
• Urinalysis
• Urine culture
• Complete blood count
• Others on tertiary hospital e.g. lupus serology, complements

Management

  • Pharmacological

    Adults

    Fluid overload

    • Furosemide I.V bolus, 80 mg.

    If hypertension

    If diastolic blood pressure is greater than 100 mmHg or systolic blood pressure is above 150 mmHg:
    • Amlodipine 5 mg (PO) as a single dose

    Note: The definitive treatment of nephritis depends on the cause – an assumption of acute post streptococcal nephritis or any other disease cannot be made without specific investigation which may include renal biopsy.
  • Non-pharmacological

    • Give oxygen, and nurse in semi-Fowlers position if patient has respiratory distress.
    • Restrict intake of all salt
    • Restrict potassium containing foods and fluids
    • Restrict fluid intake to 10 mL/kg/day daily plus visible fluid losses

Prevention

Updated on,

23 Novemba 2020, 11:53:17

References

I'm a paragraph. I'm connected to your collection through a dataset. Click Preview to see my content. To update me, go to the Data Manager.

bottom of page