45y male with DM,CKD,NEPHROTIC SYND,OLD ASMI,CHF.HOW TO GET RELIEF OF ANASARCA.PLZ SUGGEST

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First treat kidney problems by dialesis. After that start coronary dialators digitilized patient. Parentral corticosteroids under cover of antibiotics ( short course ).
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Peritoneal dyalisis
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1 NEED HIS PRESENT DRUG LIST 2 CARDIAC STATUS ECG ECHOCARDIUM 3 CREATININE GFR Ca++ PO3/4 Na + k+ 4 BLOOD SUGAR 1 FLUID RESTRICTION TO 600.ML./DAY 2 SALT RESTRICTION TO 3 GM / DAY 3 TABLET LASIX 40 MG BD 4 INTAKE / OUTPUT CHART 5 GLYCEMIC CONTROL 6 TREATMENT FOR CAD TO CONTINUE 7 FURTHER MANAGEMENT DEPENDS ON GETTING ALL REPORTS
If multiple systemic pathology involved, its thumb rule to take care of Renal functioning as a priority. Dialysus as oar advice of Nephrologist ( Hemo or Peritonial ). Than coronary arteries shoul be targetted for treatment. Corticosteroid and Antibiotic could initiated.
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High dose diuretics IV. Furosemide up to 70mg Put a patient under cardiac monitor Electolyte imbalance should be monitored, especially potassium not to be less than 3.5meq
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Without dialysis - only large dose of diuretics would not b so effective and CHF is also to b look after.
Diuretic with steroid if needed hemodialysis or peritoneal dialysis
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