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What are the treatment of renal failure?

2017-02-06 14:46

Acute renal failure

The treatment for the cause, such as the expansion of correct prerenal factors, relieve renal obstruction factors after severe rapidlyprogressive glomerulonephritis or other hormone impact can obtain effect, allergic interstitial nephritis should immediately stop using drugs, given anti allergy drugs.

In the period of oliguria, the amount of liquid intake is based on the principle of quantity.

Correct hyperkalemia and acidosis.

The dialysis therapy is carried out as soon as possible, dehydration, removal of toxins, correction of electrolyte imbalance and acid-base balance, the patients of uropenia period. Strict monitoring of water and electrolyte balance during diuresis to prevent dehydration and electrolyte disorders. During recovery period, it is very important to pay attention to strengthen nutrition, rest and avoid the use of nephrotoxic drugs.

Chronic renal failure

Removal of incentives, symptomatic treatment, infection control and correction of water, electrolyte disorders and acidosis.

Non dialysis therapy. Low protein and low phosphorus diet can delay the progression of disease. According to the renal function of protein intake, including high-quality protein (eggs, milk, lean meat, etc.) accounted for 50% ~ 70%. Calories should be 146 thousand and 300 Jiao / kg / day, limiting the proportion of vegetable protein to wheat starch potato or corn starch instead of rice, noodles staple food. Supplementation of essential amino acids to increase protein synthesis, improve the nutritional status of low protein diet and low immune status, and can reduce blood phosphorus. Oral administration of Rhubarb decoction or enema could decrease Bun effect on mild uremia. Oral adsorption of oxidized starch, can be combined with urea or nitrogen in the intestinal tract to discharge with feces, reduce Bun. Oral Mannitol can also reduce Bun and Scr, but not in critically ill patients.

The application of erythropoietin subcutaneous or intravenous injection, 3 times a week, while taking iron anemia can be corrected quickly.

The use of calcium phosphate binders of calcium carbonate or traditional Chinese medicine Shengu capsule to correct hypocalcemia and hyperphosphatemia, vitamin D3 can reduce hyperparathyroidism osteopathia.

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