Volume : VIII, Issue : III, March - 2019

INTRAVASCULAR VOLUME STATUS IN CHILDHODD NEPHROTIC SYNDROME

R. Manorajan, R. Padmaraj

Abstract :

Aim and Objectives: To assess the intravascular volume status in children presenting with Nephrotic Syndrome Design : Prospective observational study Setting: Tertiary care teaching hospital Method : All children presenting with 1st episode of nephrotic syndrome based on inclusion and exclusion criteria in the general pediatric wards in Institute of child health. Tests for FeNa, Fractional urinary excretion of potassium, Echo to look for IVC collapsibility index were done for all of those children. Results : In our study, We included 42 participants 16(38.1%) were females and 26(61.9%) were males. 20(47.6%) patients were found to have a FeNa of < 1,whereas 22(52.4%) patients were found to have a value of FeNa >1. 16(38.1%) patients were found to have a fractional urinary excretion of potassium of > 60 %,whereas26 (61.9%) patients in this study had a fractional urinary excretion of potassium of<60 %. A total of 16(38.1% ) patients were found to a have an IVCCI < 50 %. 26(61.9 %) patients were found to have an IVCCI > 50 %. Intravascular volume status was found to be decreased/hypovolemic in 38% of the patients in this study whereas 62 % of the patients had hypervolemic or normovolemic intravascular status. Since a significant number of patients were found to be hypovolemic, intravascular volume status must be assessed in patients with nephrotic syndrome before the institution of diuretic therapy for treating edema

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

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INTRAVASCULAR VOLUME STATUS IN CHILDHODD NEPHROTIC SYNDROME, R.Manorajan, R.Padmaraj PARIPEX - INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-3 | March-2019

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