Alternative Volume Expanders
a. Consider using other colloids like hydroxyethyl starch or crystalloids such as saline or Ringer's lactate.

Addressing Underlying Causes
a. Evaluate and treat potential causes of edema and nervous system issues, such as heart, liver, or kidney conditions.

Supportive Treatments
a. Diuretics may help reduce fluid retention.
b. Nutritional support and physical therapy can aid in overall health improvement.

Monitoring and Follow-up
a. Regular assessments and lab tests are crucial to monitor progress and adjust treatment.

Specialist Referral
a. Consult nephrology, cardiology, or neurology for complex or persistent cases.