What are some tips for treating acute kidney failure?

Acute kidney function is caused by damage to the kidneys in a short period of time due to certain conditions, causing toxins and water to accumulate in the body. Of course, the reasons are many, there are prerenal causes, renal neutral causes, and postrenal causes. Acute renal failure requires a blood test to be drawn from the hospital to check the function of the kidneys.

When the creatinine level in the blood exceeds 356 micromoles per liter, or this value is more than 3 times that of a previous physical examination, we define acute renal failure.

Acute renal failure is divided into oliguric phase, polyuria phase and recovery phase according to the different course of the disease, when acute renal failure enters the polyuria phase, it means that the kidney function has been partially restored, especially the renal tubules have begun to recover. However, at this time, the function of the renal tubules has not been fully restored, and it still has impaired absorption of the water filtered by the glomeruli and some electrolytes, resulting in increased urine and symptoms of polyuria. Therefore, at this time, it is necessary to pay attention to electrolyte imbalances and pay attention to the balance of water.

Because the risk of polyuria is greater than that of oliguria, the reason for this is that the renal tubular function is not fully recovered during the polyuria period, and the body's beneficial electrolytes are easily excreted through a large amount of urine, resulting in electrolyte imbalance in the body, which is prone to more serious consequences.

The main thing for patients with acute renal failure is to clarify that after ** is carried out, the patient's renal failure is expected to recover. Because the patient's kidney parenchyma does not have fibrosis, sclerosis, etc. Acute renal failure is most commonly caused** because the kidneys are ischemic due to certain conditions.

For example, the patient has diarrhea, vomiting, loss of large amounts of fluid, hypovolemic state, and affects the blood in the kidneys**. In terms of needing to be hydrated, diarrhea, vomiting. If the patient has postrenal acute renal failure caused by urinary obstructive factors, surgery is often needed to relieve urinary tract obstruction caused by stones, prostatic hyperplasia or tumors, and if the condition of acute renal failure is particularly severe, temporary dialysis is also required as a transition**.

At the time, you can do it first by means of medicine, so as to avoid shock or infection, and you also need to do dialysis**, you also need to go through surgery, and you need to treat some complications.

At the earliest time, you can use vasodilators, if it is not useful, you can use furosemide instead, to maintain the balance of water in the body, follow the concept of how much water to drink, and pay attention to the combination of diet, to achieve balanced nutrition, to always pay attention to the balance of potassium, and to actively control infection.

A good technique is that kidney dialysis can be performed, kidney transplantation can be performed, surgery can be performed, interventional methods can be performed, and drugs can also be injected.

Maintain fluid balance. During oliguria, patients are prone to excessive water load, which in severe cases can lead to pulmonary edema and cerebral edema. The patient should be carefully observed for symptoms and signs of the cardiopulmonary tract, and the patient's fluid intake and outflow should be carefully calculated.

Early prophylaxis reduces infections and bleeding caused by acute renal failure. If blood is insufficient, fluid management is required. If infected, **infected.

Rehydration is done on a "within your means". Daily rehydration volume = dominant fluid loss + non-dominant fluid loss - endogenous water volume. In case of acute heart failure, the most effective method is dialysis as soon as possible.

To correct metabolic acidosis, all drugs are different. For example, acute kidney failure caused by acute interstitial nephritis, which is more common in drug allergies, can be treated with hormones**. 5% intravenous sodium bicarbonate and calcium antagonists prevent and** acute ischemic renal failure and convert oliguric renal failure to non-oliguric renal failure.

In patients with severe acidosis, dialysis should be started immediately**.

Other electrolyte disorders. If weight increases, sodium should be limited; If sodium levels are normal, water intake should not be restricted. If disorientation, convulsions, coma, and other symptoms of water intoxication are present, hypertonic ** can be performed with saline or dialysis.

Without**. In nephropathy, diuresis and vasodilation are usually performed at the same time. After acidosis is corrected, tetany often occurs due to a decrease in the concentration of free calcium in the blood.

It can be diluted with 10% calcium gluconate and injected intravenously.

Calories** are mainly digestible carbohydrates. You can eat more fruits, with wheat starch chips, cereals, biscuits or other wheat starch snacks, and a small amount of rice soup or porridge. Reduce the amount of potassium in your diet and avoid foods that contain potassium, foods that are high in potassium can be frozen, soaked in water, or processed in soups to reduce potassium levels.

Low protein intake should be considered separately, as the patient's protein intake varies at different times. High temperature. Patients with impaired kidney function should also eat a high-calorie diet, which is more calories than normal.

At this time, you should go to the hospital for a detailed examination, and also replenish some energy to the body. In addition, to go for dialysis, you should also add more nutrients to the body, you can drink some water appropriately, but don't drink too much at one time. You can do some exercise appropriately, and you can also eat some foods with less oil and less salt.

To take some ** drugs for kidney failure, these methods are relatively effective.

After such a situation, you should go to the hospital in time for **, and then you should also do a good job of **training, you must insist on taking drugs, if the situation is more serious, you should do surgery in time, and you should actively cooperate with the doctor's advice, eat more vegetables and fruits, and pay attention to supplementing nutrients.

In such a situation, you should accept ** as soon as possible, arrange hospitalization and surgery as soon as possible, and at the same time, you should slowly recuperate, don't be too nervous, and don't delay the best time for surgery.

You can choose to have a kidney replacement, which can be carried out with medication**, you must pay attention to your diet, strengthen exercise, and also pay attention to your own situation, and be sure to see a doctor regularly.

Answer]: This group of questions examines the clinical application of diuretics. Furosemide lead is suitable for the prevention and treatment of acute renal failure in the early stage, and is also used for patients with oliguric travel who are ineffective in mannitol. Therefore, the answer is E.

Treatments for kidney failure can be through medication and surgery. Renal failure is a pathological condition caused by the decline of kidney function due to various causes. Can be used as a diagnosis of the disease, but it is not conclusive.

In renal failure, the decline in the patient's kidney function can be divided into partial or total loss of kidney function, i.e., the severity of the decline in kidney function can vary.

Most kidney failures are conservatively treated with Western medicine**. Prerenal acute kidney injury related to volume depletion, renal acute kidney injury related to drugs or toxins, acute kidney injury related to genetics and autoimmunity, and most chronic renal insufficiencies, among others. Most of them are conservative with Western medicine**.

Traditional Chinese medicine has unique advantages in kidney failure, especially chronic renal insufficiency. Because the "deficiency, stasis, dampness and toxicity" of patients with chronic renal failure run through the entire course of the disease, the best effect can be achieved by means of "replenishing deficiency and removing stasis, dampness and detoxification". Among them, we have to mention the effects of Astragalus, Codonopsis, Salvia, Chuanxiong and Rhubarb on kidney repair and protection in modern research.

Kidney failure due to burns, crush syndrome, gastrointestinal bleeding, and urinary obstructive nephropathy may require surgery** as well as medications**. This needs to be decided on a case-by-case basis.

Acute kidney injury (AKI) or acute renal failure (ARF) is a clinical syndrome caused by a rapid decline in kidney function in a short period of time due to various causes. It is usually an increase in serum creatinine, and a decrease in urine output over hours to days or weeks, resulting in oliguria, anuria, edema, and water electrolysis disorders. Causes of acute kidney injury include infection, medications, volume depletion, urinary tract obstruction, and immune disorders, which can be pre-renal, post-renal, and renal factors.

Chronic renal insufficiency, or chronic renal failure, is the end result of various acute and chronic kidney diseases. It refers to chronic progressive renal parenchymal damage caused by various reasons, resulting in significant atrophy of the kidneys, partial or complete loss of kidney function, and inability to maintain the basic functions of the human body. At the same time, there are various clinical manifestations, such as edema, hypertension, imbalance of electrolytes and acid-base balance, elevated toxin levels, and various systemic diseases (cardiovascular and cerebrovascular diseases, cardiovascular and cerebrovascular diseases, etc.).

Usually acute renal failure is mainly for the primary disease to be aggressive, such as anti-shock caused by shock; Infection caused by infection should be strictly and aggressively controlled; If the obstruction is caused by surgery, the obstruction should be relieved by surgery; If kidney function is not restored, dialysis is often required if it continues to deteriorate**. On the one hand, it is necessary to carry out the primary disease, such as controlling the patient's blood pressure, blood sugar, blood lipids, and reducing urine protein; At the same time, it is also necessary to treat the complications of chronic renal failure, such as erythropoietin to correct anemia in patients, acidosis and renal bone disease, etc.

There are traditional Chinese medicine, acupuncture and massage, and Western medicine, and it is necessary to pay attention to ensuring a healthy diet and regular work and rest time.

Dietary therapy, drug ** and dietary therapy cooperation can have a better effect, to standardize the treatment, to avoid fatigue.

Kidney cells can be completely regenerated, as long as the regenerated kidney cells multiply faster than the rate of dead cells**!

It should be treated by surgery, because it is a very serious disease, and if you don't have surgery, the consequences will be unimaginable, and it will cause heart failure, so we must protect our body.

It should be treated by means of drugs and surgery, so that the elderly can get it.

You can choose to be conservative**, you can go for surgery, you can take some medications, you can change your kidney.

Health education for acute renal failure.

1. Rest:

Bed rest should be done in the acute phase; During the recovery period, you should be active gradually and avoid overexertion.

2. Dietary care

A high-calorie, high-vitamin, low-salt, low-protein, easy-to-digest diet should be given. The water intake should be strictly controlled during the oliguric period, and the daily water intake is about 500ml of the previous day's output. Limit foods rich in potassium, sodium, magnesium, and phosphorus, such as bananas, oranges, peaches, spinach, rape, mushrooms, fungus, peanuts, etc.

Protein in polyuria can be increased daily to meet the needs of the tissue. Patients are instructed to eat potassium-rich foods to avoid hypokalemia.

3. Observation of the condition.

1.Oliguria: The main life-threatening aspects of the oliguric phase are hyperkalemia, excess body fluids, secondary infections, and uremia. Therefore, vital signs should be closely observed, urine output should be recorded in a timely and accurate manner, and fluid balance should be maintained, while also paying attention.

1) Observe whether there are precursor symptoms of hypertensive encephalopathy, acute left heart failure, cerebral edema, and infection;

2) Observe the nasal cavity, oral cavity, and mucous membrane for bleeding tendency;

3)**Net**Autumn Clothes**What is the best product for facial treatment, which is good for hydration, what brand of toothpaste and tooth cleaning products are good Observe the changes in serum potassium and sodium: such as drowsiness, irritability, weakness, paralysis, arrhythmia, etc., excessive fluid in the body, edema, nausea, vomiting, heart failure, etc. If any abnormality is found, report it to the doctor in time for treatment.

4) Observe urine output, urine color, monitor weight, and accurately record daily fluid inflow and output.

2.Polyuria: Urine output increases gradually, fluids and electrolytes should be supplemented, and hypotension, cold sweats, clammy extremities and other signs of blood volume depletion or electrolyte imbalance should be observed.

4. Life care:

5. During the illness, the patient will be damaged due to edema, weakness and other conditions, and the nursing staff should give the best care in time, keep it clean and do not scratch, and prevent ulceration. Prevent infections of the respiratory, oral and urinary tracts.

6. Pay attention to rest, appropriate activities, and avoid fatigue.

7. Insist on taking the drug, do not reduce the dose by yourself, and pay attention to the adverse reactions of the drug. Avoid drugs that damage the kidneys, such as aminoglycosides.

8. Prevention of infections, such as upper respiratory tract and urinary tract infections. Avoid going to public places to prevent worsening kidney damage.

I didn't pay much attention to it, I also had it, it was caused by an adverse drug reaction, and it was cured in a few days, and I thought it was a big disease, and the name was quite scary, but I don't know what caused it, or rest more, drink more water, urinate more, and expel the kidney toxins quickly.

The clinical manifestations of acute renal failure are mainly divided into oliguric phase, polyuria phase, and convalescent phase. According to these clinical symptoms, it is more important for patients to do a good job in the treatment and care of acute renal failure. Acute renal failure care measures are as follows:

1. Prevent infection: Strictly implement aseptic operation, strengthen first-class care and oral care, turn over regularly, and pat your back. Daily ultraviolet disinfection of patient rooms.

2. Closely observe the changes in the condition Pay attention to changes in body temperature, breathing, pulse, heart rate, heart rhythm, blood pressure, etc.

3. Nutritional care During the oliguric period, the amount of water, salt, potassium, phosphorus and protein should be limited, and sufficient calories should be provided to reduce the decomposition of tissue protein. Those who cannot eat are supplemented with glucose, amino acids, fat emulsion, etc. from the vein.

4. Ensure that the child is on bed rest The rest period depends on the condition, and bed rest should be taken during the general oliguric and polyuria periods, and appropriate activities should be gradually increased during the recovery period.