Question 73 · LEK · Nephrotic and nephritic syndromes
Indicate true statements on the pathogenesis and treatment of edemas in nephrotic syndrome:
1) in the majority of patients with albumin concentration of 2.0-3.0 g/l edemas occur with hypervolemia and are caused by sodium retention in renal tubules;
2) in some patients with hypoalbuminemia < 2.0 g/l edemas occur with hypovolemia;
3) regardless of an underlying pathomechanism in all patients 100 mL of 20% albumin should be infused before diuretic administration;
4) in patients with hypervolemia sodium supply should be limited to 3-6 g of NaCl daily;
5) increased doses of intravenous furosemide are recommended because of hypoalbuminemia.
The correct answer is:
2) in some patients with hypoalbuminemia < 2.0 g/l edemas occur with hypovolemia;
3) regardless of an underlying pathomechanism in all patients 100 mL of 20% albumin should be infused before diuretic administration;
4) in patients with hypervolemia sodium supply should be limited to 3-6 g of NaCl daily;
5) increased doses of intravenous furosemide are recommended because of hypoalbuminemia.
The correct answer is:
- A. 1,2,4,5.
- B. 1,2,5.
- C. 2,3,4.
- D. 1,4,5.
- E. 2,3,4,5.
Hint
Distinguish overfill and underfill edema, and recall whether albumin infusion is a routine measure.
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