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Table 6 Management of edema

From: The Italian Society for Pediatric Nephrology (SINePe) consensus document on the management of nephrotic syndrome in children: Part I - Diagnosis and treatment of the first episode and the first relapse

Management of edema in nephrotic syndrome

Mild edema

▪ sodium restriction

▪ fluid restriction

Moderate edema

▪ sodium restriction

▪ fluid restriction

▪ loop diuretic

▪ potassium sparing diuretic for prolonged therapy

Severe/refractory edema

▪ sodium restriction

▪ fluid restriction

▪ loop diuretic +/− potassium sparing diuretic

▪ thyazide diuretic

▪ albumin, followed by a bolus of furosemide