Nephrotic Syndrome(Investigation, Treatment)

InvestigationsProteinuria3+-4+Protein Creatine Ratio>2Urinary Protein Excretion40 mg/kg/hrSerum Albumin2.5g/dLSerum Clolesterol250 mg/dL

InvestigationsRadiographyRenal Biopsy

Treatment

TreatmentSteroid ResponsiveSteroid Resistant

Steroid ResponsivePrednisone40mg/m2/dayPrednisolone60mg/m2/day

Steroid ResistantCyclophsphamide2mg/kg/dayPlus Prednisone

Steroid ResistantCyclosporineMycophenolateLevamisole500-1000 mg/kg IV infusion

Other DrugsCyclosporine15 mg/kg PO for 1 doseTarcolimus0.15-0.2 mg/kg/day divided 12hrMycophenolate600 mg/sq.meter POAlbumin500-1000 mg/kg IV infusionFurosemide1-2 mg/kg 6-8 hr

Complications

Prognosis

The End