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학습 자료 둘러보기 →The highest priority is teaching parents to monitor for signs of infection and seek immediate care for a fever of 38°C (100.4°F) or higher. This is due to immunosuppression from urinary loss of immunoglobulins and the effects of corticosteroids.
Fluid management must be carefully balanced. Do not push fluids during active edema; instead, follow a "no added salt" diet and monitor daily weights with the same scale to track fluid status.
Dietary teaching should emphasize a well-balanced, age-appropriate diet with normal protein intake. High-protein diets are avoided as they can worsen renal damage.
A fever in a child on steroids is a medical emergency. Steroids mask the classic signs of severe infection like peritonitis. Immediate evaluation, blood cultures, and empiric antibiotics are often required.
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