What are the diagnostic tests for MCNS?
- serum albumin (hypoalbuminemia)
- sodium
- BUN
- cholesterol (hyperlipidemia)
- electrolytes
- urinalysis (proteinuria)
- renal ultrasound to detect structural problems
What is the diagnostic testing for MCNS relapse?
-2+ proteinuria by dipstick for 3 consecutive days
What does the management of MCNS look like?
- supportive care
- Diet: low protein and sodium restriction
- Steroids: prednisone
- Immunosuppressant therapy
- Diuretics
What is the 4 step therapeutic management fo MCNS?
- reduce excretion of urinary proteins
- reduce fluid retention in the tissues
- preventing infection
- minimize complications related to therapies
What do corticosteroids do for the management of MCNS?
- decrease proteinuria
- if response is successful continue for 12 weeks
When will we use immunosuppressives for treatment of MCNS?
if not responsive to corticosteroids
What do ACE inhibitors do for the treatment of MCNS?
reduces amount of protein in urine
When giving albumin for the treatment of MCNS what need to be watched?
- watch for hypertension
- volume overload caused by fluid shift
What is an adverse effect of diuretics for the treatment of MCNS?
shock
What medications are given for MCNS?
- corticosteroids
- immunosuppressives
- ACE inhibitors
- diuretics
- antibiotics
What are some important nursing management things to remember for MCNS tx?
-prevent skin breakdown
-adequate fluid intake
-low or no salt when taking the corticosteroid
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