Decompensated renal insufficiency

Renal insufficiency is a common kidney problem. When this problem occurs, the impact it brings to patients cannot be underestimated. During the compensatory stage of renal insufficiency, there will be some symptoms that are very different from other periods. Renal insufficiency can be treated with medication. In addition, good care is also required in daily life. Next, I will introduce you to the relevant knowledge about renal insufficiency!

1. What are the main symptoms of decompensated renal insufficiency?

1. In patients with decompensated renal insufficiency, the nitrogen metabolites in the blood increase significantly, the blood urea nitrogen is greater than 20mmo1/L (56mg/d1), the creatinine clearance rate drops below 20%, and the clinical symptoms are significantly aggravated, accompanied by acidosis and water and electrolyte disorders.

2. Patients in the early stage of renal insufficiency have obvious nitrogen retention, with blood urea nitrogen often greater than 9mmo1/L (25.2mg/d1), and blood creatinine clearance rate dropped to about 25%. At this time, in addition to the clinical manifestations of the primary disease, there are often compensatory polyuria and nocturia, decreased urine specific gravity, accompanied by fatigue, headache, loss of appetite and varying degrees of anemia. These are the main manifestations of the early stage of renal insufficiency. If they occur, you must pay attention.

2. Drug treatment of renal insufficiency

Angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, calcium channel antagonists, loop diuretics, beta-blockers, vasodilators, etc. can all be used to treat hypertension. Anemia is treated with subcutaneous or intravenous injection of erythropoietin and iron supplements to correct anemia. Drugs to correct water, electrolyte and acid-base imbalances correct metabolic acidosis, treat hyperkalemia, hypokalemia, hypermagnesemia and hypomagnesemia. Also take iron supplements. To prevent and treat infection, antibiotics with low nephrotoxicity should be used to control infection. 5. Oral adsorption therapy and catharsis therapy for toxin elimination: Oral oxidized starch, activated carbon preparations or rhubarb preparations can increase the excretion of uremic toxins through the gastrointestinal tract.

3. Daily care for patients with renal insufficiency

Patients should enhance their awareness of self-care, pay attention to keeping warm, prevent cold and prevent infection. Use medication correctly as directed by your doctor, and observe and prevent drug toxicity and side effects. Pay attention to rest, avoid fatigue, exercise appropriately, and enhance your disease resistance. Monitor the patient's blood pressure and weight changes, and be alert to diarrhea, dehydration, etc.