For patients with nephrotic syndrome, what is the primary goal of dietary management?

In the dietary management of nephrotic syndrome, it is essential to address multiple nutritional needs, which is why aiming for all of the options provided is appropriate.

Increasing caloric intake is crucial for patients with nephrotic syndrome because they often experience proteinuria, leading to a loss of protein and contributing to a catabolic state. Adequate caloric intake helps prevent muscle wasting and maintains energy levels.

Reducing fluid intake can be important, particularly if the patient is experiencing edema or hypertension, as it can help manage these symptoms by controlling fluid overload and balancing electrolyte levels.

Repleting vitamin deficiencies may also be necessary since patients with nephrotic syndrome are at risk of nutrient losses, including vitamins, due to malabsorption or increased metabolic demands.

Given the complexities and nutritional challenges presented by nephrotic syndrome, a comprehensive approach that encompasses all these components is the most beneficial for patient care.