Daily Health Care For Chronic Kidney Failure

How do carry out the daily health care for chronic renal failure? Chronic renal failure is a serious renal disease, which is a series of clinical syndromes formed by the long-term effects of various primary renal diseases. The onset of chronic renal failure should pay attention to strengthening daily health care, so what are the precautions for nursing chronic renal failure? The following is the related introduction.

Chronic kidney failure life care precautions - chronic renal failure is the most common type of renal failure disease. Because chronic renal failure is hidden and difficult to be discovered by patients, it brings more harm to patient's health and daily life. serious. Experts from the kidney failure hospital pointed out that if patients want to recover quickly, they cannot do without their daily health care work. The details are as follows:

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1. Pay attention to preventing pharyngeal, lung, and urinary tract infections, so as not to aggravate chronic renal failure. Second, avoid cold, fatigue, diarrhea, trauma, and so on. Because every time you get infected, your condition may get worse.

2. Antibiotics should be used to control the infection promptly after infection. Gentamicin, kanamycin, and amphotericin are strictly prohibited, and drugs that are toxic to the kidneys should be avoided, otherwise, they will aggravate and accelerate the deterioration of renal function.

3. Control high blood pressure. Because high blood pressure can lead to accelerated deterioration of renal function, it is advisable to maintain blood pressure below 130/80mmHg.

4. Diet. Dietary adjustment is the most basic and effective measure of non-dialysis therapy for chronic renal failure, and it is the basis of all drug treatments.

Its function is as follows:

① maintain a good nutritional status;

② Delay the progression of renal failure;

③ Prevent and reduce metabolic disorders caused by renal failure;

④ Delay the time of entering dialysis and reduce the number of dialysis after entering dialysis.

Its contents include a high-quality low-protein diet; a high-calorie diet and adequate intake of vitamins and minerals; control of sodium, potassium, phosphorus, purine, and lipid intake.

5. the primary disease should be actively treated to reduce the loss of protein. Because hypertension and proteinuria are independent risk factors for the progression of chronic kidney disease, and proteinuria is the strongest damaging factor, long-term massive proteinuria can lead to deterioration of renal function.

What medical tests should be done in patients with kidney failure

After suffering from renal failure, the patient's body will be greatly damaged, so it is necessary to go to the hospital to check and confirm the condition as soon as possible. Listen to the experts below to explain to you the examination items that patients with renal failure need to do. What tests should be done in patients with renal failure? Experts introduce the following:

Urine test:

①Urine routine changes may vary due to different underlying causes. There may be proteinuria, red and white blood cells, or casts, and the changes may not be obvious.

②Urine specific gravity is mostly below 1.018 and fixed between 1.010 and 1.012 in renal failure. Nocturnal urine output is greater than daytime urine output.

Determination of renal function 

Glomerular filtration rate and endogenous creatinine clearance decreased

Phenol red excretion test and urine concentration dilution test were decreased

Abnormal determination of pure water clearance rate

Radionuclide renogram, renal scan, and scintigraphy are also helpful for understanding renal function. 

Other examinations. 

Urinary system X-ray plain film or contrast-enhanced renal biopsy is helpful for etiological diagnosis.

Blood tests: 

① Increased blood urea nitrogen and creatinine

②Hemoglobin is generally below 80g/L and can be reduced to 20-30g/L at the end stage, which may be accompanied by thrombocytopenia or high white blood cells

③Determination of arterial blood gas acid-base; in the late stage, PH value often decreases, ABSB and BE both decrease PaCO2, which is a compensatory decrease

④ Plasma protein can be normal or decreased

⑤ Electrolyte measurement may be abnormal

What is the difference between uremia and renal failure?

Nephropathy experts point out that uremia is the final form of kidney disease that further deteriorates renal failure, that is to say, uremia is much more serious than renal failure. For renal failure, patients can be divided into acute renal failure and chronic renal failure. Acute renal failure generally develops faster, usually due to insufficient supply of kidneys or obstruction of kidneys due to certain factors, resulting in impaired function or exposure to toxic substances. caused by injury. The main reason for chronic renal failure is long-term renal disease. With the progress of time and disease, the function of the kidney gradually declines, resulting in the occurrence of renal failure.

And renal failure will cause the kidneys not to produce urine or only very little urine, unable to eliminate the metabolites in the body, and the metabolites accumulate in the body, which is equivalent to the accumulation of poisons in the body, and there will be problems in all organs of the body. Uremia is not an independent disease, but a clinical syndrome shared by various advanced renal diseases, and it is the terminal stage of progressive chronic renal failure. In this stage, in addition to water and electrolyte metabolism disorders and acid-base balance disorders, extensive systemic poisoning symptoms such as digestive tract, heart, lung, nerve, muscle, skin, blood, etc. are presented due to a large number of metabolites retained in the body. And uremia is due to kidney problems, resulting in the patient's body of waste, toxins that can not be normally excreted from the body, and the deposition in the body brought serious damage to the body.

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