A 42-year-old man came to consultation for edema. Initial tests showed the presence of proteinuria of more than 10 grams/24 hours. Which of the following measures is NOT indicated in the treatment of this patient?
The patient in the case presents a nephrotic syndrome, so far so good. As for the diet, to reduce edema in these patients, it is recommended that it be low-protein and low-salt, so options 1 and 3 would be true. ACE inhibitors are also administered as primary treatment for nephrotic syndrome, since they decrease urinary protein excretion, as do ARA II and loop diuretics, so options 2 and 5 would also be correct. Therefore, simply by discarding, we are left with option 4 as false, and therefore, the correct answer. Moreover, it should stand out from the beginning as the option to be marked, since precisely one of the causes of nephrotic syndrome is the intake of NSAIDs, so how could they be indicated in the treatment?
Low-protein diet.
Administration of loop diuretics.
Restriction of salt in the diet.
Administration of NSAIDs.
Administration of angiotensin-converting enzyme inhibitors.
to reduce edema in these patients, it is recommended that it be low-protein and low-salt, so options 1 and 3 would be true.
ACE inhibitors are also administered as primary treatment for nephrotic syndrome, since they decrease urinary protein excretion, as do ARA II and loop diuretics, so options 2 and 5 would also be correct.
to reduce edema in these patients, it is recommended that it be low-protein and low-salt, so options 1 and 3 would be true.
since precisely one of the causes of nephrotic syndrome is the intake of NSAIDs,
ACE inhibitors are also administered as primary treatment for nephrotic syndrome, since they decrease urinary protein excretion, as do ARA II and loop diuretics, so options 2 and 5 would also be correct.