Treatment and medication precautions for chronic renal failure

Knowing some common sense of pathology in life can help us prevent diseases in their early stages. So what are the methods for treating chronic renal failure? What should we pay attention to when taking medication for chronic renal failure?

Treatment of chronic renal failure includes the following aspects:

① Treatment is targeted at the cause, such as volume expansion to correct pre-renal factors and eliminate post-renal obstructive factors. Severe acute or other glomerulonephritis can be effectively treated with hormone shock. Allergic interstitial nephritis should immediately stop taking the medication and give anti-allergic drugs, etc.

② During the oliguria period, the principle of fluid intake is to keep the amount of fluid out as the amount of fluid in.

③Correct hyperkalemia and acidosis.

④ Start dialysis therapy as early as possible, which has the functions of dehydration, removal of toxins, correction of electrolyte imbalance and acid-base imbalance, and enables patients to overcome the difficulties of the oliguria period. During the polyuria period, water and electrolyte balance should be strictly monitored to prevent death from dehydration and electrolyte imbalance. During the recovery period, it is very important to pay attention to strengthening nutrition, rest and avoiding the use of nephrotoxic drugs.

Precautions for medication in chronic renal failure:

1. Try to avoid using drugs that are toxic to the kidneys, such as gentamicin, metronidazole, kanamycin, vancomycin, and indomethacin.

2. Most drugs are excreted through the kidneys, so the dosage should be appropriately reduced according to the degree of renal insufficiency.

3. In chronic renal failure, due to reduced potassium excretion, potassium-sparing diuretics such as spironolactone, triamterene, and potassium-containing drugs should be avoided when using diuretics. Do not use stored blood for blood transfusion, fresh blood is preferred. This is because the red blood cells in the stored blood are destroyed, and the blood potassium overflows from the cells into the plasma, which will increase the patient's blood potassium.