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© Hairuhusiwi kukopi bila kibali cha ULYCLINIC
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
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