What is the role of home monitoring in the treatment of pediatric nephrotic syndrome?

Updated: Mar 04, 2020
  • Author: Jerome C Lane, MD; Chief Editor: Craig B Langman, MD  more...
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Answer

Home monitoring of urine protein and fluid status is an important aspect of management. All patients and parents should be trained to monitor first-morning urine proteins at home with a urine dipstick. Urine testing at home is also useful in monitoring response (or non-response) to steroid treatment.

Weight should be checked every morning as well, and a home logbook should be kept recording the patient’s daily weight, urine protein levels, and steroid dose if the patient is being treated. Families and patients are instructed to call for any edema, weight gain, or proteinuria of 2+ or more for more than 2 days.


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