N04.9
DESCRIPTION
Glomerular disease characterised by:
- severe proteinuria, i.e.: PCR >0.25 g/mmol
and
- oedema,
- hypoalbuminaemia, and
- hyperlipidaemia.
The cause cannot be determined accurately without a biopsy.
GENERAL MEASURES
Regulate salt and fluid intake.
Weigh regularly to assess fluid retention.
Check for postural hypotension to identify excessive diuresis.
Evaluate proteinuria with PCR:
- initially – weekly
- when discharged – monthly, until stable
Monitor potassium frequently for patients on ACE-inhibitors and/or diuretics.
MEDICINE TREATMENT
Management should be guided by a specialist.
CONSULTATION/REFERRAL
All patients.