In patients with nephrotic syndrome due to the loss of a large number of proteins in the urine, there is a lack of protein in the body. This
In patients with nephrotic syndrome due to the loss of a large number of proteins in the urine, there is a lack of protein in the body. This is also the main cause of edema. However, intravenous administration of protein preparations, such as Human Albumin or lyophilized plasma, does not solve the problem of loss of protein in urine from patients, and it is not possible to adequately supplement the protein. And quite a part of the input on the same day that proteins from urine leakage. Therefore, when there is severe edema in patients with nephrotic syndrome, the effect of diuretics is not obvious, we can consider the intravenous infusion of protein preparations to improve the plasma colloid osmotic pressure, expand blood volume. It should be applied immediately such as diuretics, furosemide and hydrochlorothiazide, spironolactone, in order to enhance its diuretic effect.
Patients often diuretics nephrotic syndrome, medication should be noted that the side effects of various drugs itself, should be closely attention to a large number of diuretic can cause electrolyte disorders (such as hypokalemia), can be fatal; and should pay attention to a lot of diuresis caused by blood concentration, increased the hypercoagulable state in patients with the original that caused by renal vein thrombosis, so that nephritic syndrome patients is more difficult.
Nephrotic syndrome patients in the urine lost a variety of proteins, resulting in decreased resistance to the body, in the use of hormone therapy is easy to merge infection. However, in the absence of infection when the preventive use of antibiotics can not really play a preventive role, but the difficulties caused by the use of drugs after infection. Therefore, it is necessary to detect the infection in time and control the use of antibiotics in time.