How to treat acute renal failure

Oliguria amount of liquid should be " Expenditure and Revenues " principle. Daily fluid intake will increase equal to the previous day's urine , vomiting , drainage , etc. plus 500ml ( minus the water loss is not dominant endogenous water ) . Oliguria hyperkalemia is major cause of death , to strictly limit the high potassium foods and medicines, active infection control , to prohibit the import of obsolete inventory blood.

With 5 % sodium bicarbonate solution to correct metabolic acidosis , hyperkalemia is to correct first aid measures . In the glucose solution内加普through intravenous insulin , promoting glycogen synthesis of potassium into cells . Application of 10% calcium gluconate 10 ~ 20ml intravenous potassium may antagonize the toxic effects on the myocardium and correct hypocalcemia.

The most effective measures to rescue acute renal failure is the use of dialysis therapy, including peritoneal dialysis ; hemodialysis ; simple ultrafiltration and ( or ) sequential ultrafiltration ; continuous arteriovenous hemofiltration and continuous arteriovenous hemofiltration and dialysis ; blood perfusion ; plasma exchange ; adsorption hemodialysis.

The above dialysis indications and contraindications have their pros and cons . Selected according to the specific circumstances. Hemodialysis and peritoneal dialysis -based, easy to peritoneal dialysis , security, economic , easy to carry in the primary hospital .

Polyuria attention to prevent dehydration, but not more than the amount of fluid , otherwise polyuria prolongation. Polyuria period, with particular attention to electrolyte imbalance, particularly hypokalemia. After more than a week in urine of renal function gradually recovered , dietary protein intake can be increased gradually , help the body recover renal cell repair and regeneration .

Recovery , no special treatment to avoid the use of nephrotoxic drugs , surgery and recovery period to avoid injury, pregnant women should be prohibited , every 1 to 2 months after treatment renal function.