2015年9月16日星期三

Principles of treatment of chronic renal failure

While some chronic renal failure is difficult to reverse, but should still find and correct some cause irreversible renal failure aggravating factors in order to improve renal function.
Treatment of chronic renal failure often follow the following principles:
1. The treatment of the primary disease. Exclude disease can aggravate factors, correct water and electrolyte imbalance and acid-base balance, prevent infection.
2. Elimination of incentives. Such as infection, fever, bleeding, dehydration specifically hypertension, overwork, etc., to avoid the application of drugs damage the kidneys.
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3. The control diet. To give patients high-quality low-protein, low phosphorus, high calorie diet, supplements of essential amino acids and the amount of carbohydrates, fat, in order to ensure adequate supply of calories. Appropriate to add vitamins and trace elements.

4. Periodic follow-up. In the early azotemia must be regular follow-up in order to monitor the development of the disease, timely appropriate treatment. The frequency depends on whether treatment of patients to other complications, such as hypertension, heart failure, and renal function deterioration rate exists. In general, patients with the best treatment once every three months, treatment should measure blood pressure, perform blood, blood urea nitrogen, serum creatinine and electrolytes testing to guide treatment for the next step. Often followed up some negative factors can be found in a timely manner to promote the development of renal failure, and dealt with promptly.

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