2014年1月15日星期三

Prevention of acute renal failure


Prevention of acute renal failure is mainly to prevent and treat the primary disease , avoid and eliminate the predisposing factors are preventing the fundamental. So , pay attention to the following three points :
Restore internal organs
Usually living , Diet, pay attention to hygiene , avoid evils invasion , preventive measures should be strengthened , especially in seasonal epidemics and regions ; But eating spicy broiled Wong Atsumi avoid the breeding of heat ; Regulating Emotions , maintain a happy to make accessible and to avoid blood stasis ; increasing physical activity , improve the body's defenses.
Prevent poisoning
The data indicate that 20% to 50 % of acute renal failure is caused by the drug , as well as part caused by exposure to harmful substances . Therefore, we should try to avoid using toxic to the kidneys and exposure of drugs or poisons . Take the case of an accident or exposure should be timely detection and early treatment.
Timely prevention
Once induced acute renal failure in the primary disease occurs , should be treated early , pay attention to the expansion of blood volume, correcting water , electrolyte imbalance and acid-base balance , restore circulation. If it is found the disease to occur , should take early measures to add volume, increased cardiac output, recovery of renal perfusion and glomerular filtration rate , renal tubular obstruction material exclusion , prevent infection and prevent DIC, renal ischemia induced renal damage. Early application of blood circulation while drugs have a positive effect on the prevention of disease occurrence .
Patients with renal failure medication precautions
1 Try to avoid the use of drugs toxic to the kidneys , such as gentamicin, Micronomicin , kanamycin , vancomycin and anti-inflammatory pain.
2 Most drugs are excreted through the kidneys , so the dose should be reduced according to the degree of renal dysfunction .
3 chronic renal failure due to potassium excretion decreased , on the use of diuretics should avoid the use of potassium-sparing diuretics such as spironolactone , triamterene and potassium and other drugs . Do not use blood transfusion stocks , and fresh blood is better, it is because the destruction of red blood cells in the blood inventory , potassium overflow from the cells into the plasma, will increase the patient's serum potassium .

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