طفل بالمتلازمة الكلوية يأخذ بريدنيزولون بجرعة عالية. أي تعليم للأهل مهم؟

A child with nephrotic syndrome takes high-dose prednisolone. Which teaching for the parents is important?

1. Avoid contact with chickenpox and infections because immunity is lower
2. Add more salt to food to replace lost protein
3. Give all live vaccines during the high-dose course
4. Stop the steroid suddenly if swelling disappears after a few days

Answer: A) Avoid contact with chickenpox and infections because immunity is lower. Steroids and the disease lower immunity, so avoid sick contacts and chickenpox, withhold live vaccines at high doses and never stop steroids abruptly. Urine protein is dipped daily at home.