Sunday, June 9, 2013

Under What Circumstances Need Kidney dialysis? Dialysis can interrupt?


Kidney dialysis under what circumstances need to? Dialysis can interrupt? Why is that?
1. acute renal failure hemodialysis indications:
(1) no or little urine urine 2 3.
(2) the daily weight gain of more than 2.0 kg
(3) with edema, pulmonary edema, pleural effusion.
(4) uremia symptoms such as nausea, vomiting, bleeding tendency and nervous and mental symptoms.
(5)Serum creatinine acuity 530.4 mol/L or blood urea nitrogen or greater tendency for 21.42 mol/L; Or serum urea nitrogen daily rise or greater tendency for 10.71 mol/L, the serum potassium rises daily amount > tendency for 1.0 mol/L.
(6) Potassium > tendency for 6.0 mmol/L.
All landowners serum HCO3 < 15 mmol/l.
Acute renal failure who comply with the above indications should be dialysis as soon as possible, and early preventive dialysis can prevent all sorts of complications, and is also the key to the success of treatment.
2 the hemodialysis for chronic renal failure indications:
(1) can't correct electrolyte and acid-base balance.
(2) there is central or peripheral nerve damage, and people with mental disabilities.
(3) there are systemic edema, pulmonary edema.
(4) serum creatinine 707.2 gmol/L or higher, or blood urea nitrogen or greater tendency for 28.56 mmol/L; Or endogenous creatinine clearance rate (Ccr) 10-15 ml/min or less.
(5) potassium > tendency for 6.5 mmol/L.
Conform to the two above, all can consider hemodialysis. But also should be considered in patients with primary disease, clinical situation, the degree of anemia, heart function and to determine the urine volume. Dialysis patients should match the corresponding drug treatment, in order to reduce dialysis or after index is relatively stable to have the opportunity to stop the dialysis, dialysis for a long time is irreversible kidney gradually atrophic, only rely on dialysis
Many people think that there was no treatment value of chronic renal failure, uremia, speech but uremia patients should not give up hope, as long as you choose a good hospital, choose standard good expert, adopt the most effective treatment, can get rid of kidney disease of kidney disease patients.