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The manifestations of the disease may vary from mild to severe and the
intensity of the manifestations usually parallel the degree of renal structural and
functional involvement. The disease may be characterized by hematuria and
albuminuria (due to the damage of the renal filtering mechanism) resulting in a
cloudy urine; edema and hypertension (as a result of circulatory congestion
because of damaged blood vessels in the kidney) and anemia (as a result of
hemodilution caused by the edema) and a diminished output of urine or oliguria
causing retention of waste products (as a result of reduced glomerular filtration
rate). Nausea and vomiting are also observed.
Treatment
Medical Treatment
1. Short periods of hospitalization or bed rest are recommended during the early
phase.
3. Digitalis is of value only if renal function is greatly reduced and if excess fluid and
salt cannot be excreted.
If nausea and vomiting are present, a diet adequate in all nutrients will be
difficult to provide. Calories in the form of sweetened fruit juices, sweetened tea
and hard candies should be supplied to minimize tissue catabolism. As the condition
improves, the following are suggested:
grams per day for adults. If a need for protein restriction arises in
children, an amount of
urine. In which case, protein sources in the diet should come chiefly
from sources of
SODIUM. About 1 gram sodium per day is recommended. This is necessary when
edema is present
cases, the amount given in 500cc (insensible fuid loss) plus the
amount of urine passed
or excessive perspiration.
As soon as the edema is reduced, the blood pressure lowered, and the urine
output increased, a normal diet may be provided.
A daily food plain for a nine year old child weighing 24 kg is presented below.
The sample menu contains 1900 calories, 37 gm protein, 1 gm sodium and 1.1 gm
potassium.
(unsalted)
-3 exch, grp II 69 6 -
(ordinary)
- 5 exch ordinary - - 25
MEAL PLAN
Breakfast
butter – 2 tsp
jam – 1 tsp
Milk – ½ cup
Sugar – 1 tsp
Lunch
w/ sayote – ½ cup
fat – 1 tsp
Rice – 1 cup
Kaimito – 1 pc
cornstarch – 2 tbsp
Dinner
Upo picadillo
pork – 1 tbsp
upo – ½ cup
fat – 2 tsp
Rice – 1 cup
Cream pudding
milk – 4 oz evap
sugar – 2 tsp
cornstarch – 2 tbsp