Question

what is the medical management for Pediatric Acute Nephrotic Syndrome?

Answer 1

Ans) Children with too much protein in their urine, sudden weight gain, and swelling in various body parts could have a condition called nephrotic syndrome. Childhood nephrotic syndrome is also called nephrosis.

- Treatment for nephrotic syndrome involves treating any underlying medical condition that may be causing your nephrotic syndrome.:

Your doctor may also recommend medications that may help control your signs and symptoms or treat complications of nephrotic syndrome. Medications may include:

• Blood pressure medications: Drugs called angiotensin-converting enzyme (ACE) inhibitors reduce blood pressure and also reduce the amount of protein released in urine. Medications in this category include benazepril (Lotensin), captopril and enalapril (Vasotec). Another group of drugs that works in a similar way is called angiotensin II receptor blockers (ARBs) and includes losartan (Cozaar) and valsartan (Diovan). Other medications, such as renin inhibitors, also may be used, though ACE inhibitors and ARBs are generally used first.

• Water pills: Water pills (diuretics) help control swelling by increasing your kidneys' fluid output. Diuretic medications typically include furosemide (Lasix). Others may include spironolactone (Aldactone) and thiazides, such as hydrochlorothiazide.
• Cholesterol-reducing medications:

Medications called statins can help lower cholesterol levels. However, it's currently unclear whether or not cholesterol-lowering medications can specifically improve the outcomes of people with nephrotic syndrome, such as avoiding heart attacks or decreasing the risk of early death. Statins include atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pravastatin (Pravachol), rosuvastatin (Crestor) and simvastatin (Zocor).

• Blood thinners: Medications called anticoagulants help decrease your blood's ability to clot and may be prescribed if you've had a blood clot to reduce your risk of future blood clots. Anticoagulants include heparin, warfarin (Coumadin, Jantoven), dabigatran (Pradaxa), apixaban (Eliquis) and rivaroxaban (Xarelto).
• Immune system-suppressing medications: Medications to control the immune system, such as corticosteroids, may decrease the inflammation that accompanies underlying conditions, such as minimal change disease, lupus and amyloidosis.