How to Treat Glomerular Disease And Nephrotic Syndrome?

Things to note:
  • Regulate salt and fluid intake. Weigh daily.
  • Postural blood pressure for monitoring fluid loss and to prevent excessive diuresis.
Evaluate proteinuria with protein creatinine ratio:
  • Initially - weekly
  • when discharged - monthly, until stable
Monitor potassium frequently for patients on ACE inhibitors and/or diuretics.

Medical Treatment:
  • Management should be guided by a nephrologist according to the biopsy result.
  • These patients are at increased risk of renal and deep vein thrombosis.

When to refer:
  • All patients.

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