How to treat hypotension in kidney disease

Low blood pressure is a common disease in the human body. The main symptoms of low blood pressure are dizziness, chest tightness, weakness in the limbs, etc. There are many reasons for low blood pressure, such as abnormal diet and sleeping habits in daily life, and insufficient blood supply to the brain due to suddenly standing up from squatting. Kidney disease can also cause low blood pressure. Here we will introduce the treatment of low blood pressure caused by kidney disease.

1) General treatment: Patients without obvious edema, hypertension, hematuria and proteinuria are not serious and have no signs of renal insufficiency. They can take care of themselves and even do light labor, but they must prevent respiratory tract infections. They must avoid fatigue and do not use drugs that are toxic to the kidneys. Patients with obvious hypertension, edema or renal dysfunction in the short term should rest in bed and limit salt intake to 2-3g. For those with more protein loss in urine and good renal function, they should supplement with animal protein with high biological efficacy, such as eggs, milk, fish and lean meat. Those with renal dysfunction (endogenous creatinine clearance of about 30ml/min) should limit protein to about 30g and take appropriate amount of essential amino acids orally if necessary.

〃2) Due to the recurrence and strong side effects of hormones and immunosuppressants, more and more people are rejecting therapeutic drugs. New treatment methods for chronic nephritis are needed.)

〃3) Treatment of azotemia

1. Those who develop azotemia in a short period of time or for the first time or have a progressive increase in the recent period should rest in bed and limit excessive activities.

2. Diet and nutrition: For patients without obvious edema and hypertension, it is not necessary to restrict water and sodium intake. It is very important to increase water intake appropriately to increase urine output. For patients with mild or moderate azotemia, protein intake is not restricted to maintain positive nitrogen balance in the body. Patients with large amounts of protein loss every day should pay more attention to it. For patients with massive proteinuria accompanied by mild azotemia, plant protein such as soybeans can be added. For patients with severe azotemia or recent progressive azotemia, protein intake should be appropriately restricted.

3. Urine volume and urine osmotic concentration. Generally, the urine osmotic concentration of patients with chronic nephritis and azotemia is usually 400mOsm/L or below. If the daily urine volume is only 1L, it is insufficient to excrete nitrogenous solutes. Therefore, the urine volume should be 1.5L or above. Drinking water or light tea appropriately can achieve this goal. If necessary, intermittent diuretics can be taken.

Nursing care for low blood pressure:

[Daily Care]

Increase exercise appropriately, lead a regular life, and avoid excessive fatigue, because extreme fatigue can make blood pressure drop even lower. It is necessary to maintain a good mental state, strengthen exercise appropriately, improve physical fitness, improve the regulatory function of nerves and blood vessels, accelerate blood circulation, and reduce the onset of orthostatic hypotension. The elderly should choose sports according to environmental conditions and their own physical conditions, such as Tai Chi, walking, aerobics, etc.

[Dietary adjustment]

Do not eat too much at each meal; elderly people with low blood pressure can drink some light salt water every morning, or eat slightly salty food to increase their water intake; drink tea in moderation; drink alcohol in moderation (wine is best, or drink a moderate amount of beer, but not strong liquor).