Post-streptococcal glomerulonephritis medical therapy: Difference between revisions
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==Medical therapy== | ==Medical therapy== | ||
The mainstay of treatment is pharmacotherapy, however dietary therapy is useful for controlling edema and hypertension | The mainstay of treatment is pharmacotherapy, however dietary therapy is useful for controlling edema and hypertension | ||
'''Dietary therapy''' | '''Dietary therapy''' | ||
*Low salt intake | *Low salt intake | ||
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*Water restrictions | *Water restrictions | ||
'''Pharmacotherapy''' | '''Pharmacotherapy''' | ||
*If streptococcal infection is still present, it should be treated with antibiotics | *If streptococcal infection is still present, it should be treated with antibiotics<ref name="pmid11344703">{{cite journal |vauthors=Zoch-Zwierz W, Wasilewska A, Biernacka A, Tomaszewska B, Winiecka W, Wierciński R, Porowski T |title=[The course of post-streptococcal glomerulonephritis depending on methods of treatment for the preceding respiratory tract infection] |language=Polish |journal=Wiad. Lek. |volume=54 |issue=1-2 |pages=56–63 |date=2001 |pmid=11344703 |doi= |url=}}</ref> | ||
* | *To control severe hypertension, following drugs can be used: | ||
**Preferred regimen: Labetalol 0.5-2 mg/kg/h IV | |||
**If refractory to labetalol then, Preferred regimen: Diazoxide or Nitroprusside 0.5-2 mcg/kg/min IV | |||
*For mild to moderate hypertension: | |||
**Preferred regimen: Furosemide 1-3 mg/kg PO q24h | |||
** | |||
* | |||
** | |||
==References== | ==References== |
Revision as of 18:55, 14 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Medical therapy
The mainstay of treatment is pharmacotherapy, however dietary therapy is useful for controlling edema and hypertension
Dietary therapy
- Low salt intake
- Low protein intake
- Water restrictions
Pharmacotherapy
- If streptococcal infection is still present, it should be treated with antibiotics[1]
- To control severe hypertension, following drugs can be used:
- Preferred regimen: Labetalol 0.5-2 mg/kg/h IV
- If refractory to labetalol then, Preferred regimen: Diazoxide or Nitroprusside 0.5-2 mcg/kg/min IV
- For mild to moderate hypertension:
- Preferred regimen: Furosemide 1-3 mg/kg PO q24h