Renal edema In addition to medication, what should you do in2018-02-01 15:55
The first thing we need to do is limit the intake of salt. Is it true that all nephrotic edema patients have the same daily intake of salt?
Of course not! The more serious the general edema, the less salt intake. The specific principle is that the salt intake of patients with severe edema should be 1.72g / d, and that of patients with mild and moderate edema should be 2.32.8 g / day.
In addition to the low-salt diet, everyone must know that there is also a low-protein diet, in particular, how to take in high-quality low-protein? Patients with severe edema associated with severe hypoproteinemia should be given a daily protein intake of 1 g / kg BW in the case of proteinuria control; Patients with mild to moderate edema should take 0.5g of protein per kg BW and ensure caloric supply.
In addition to these, patients with edema also need to note that many patients with edema, always thinking of drinking water. But the doctor's order to limit drinking water. For health. Still need scientific drinking water. What is the way that edema patient opens drinking water scientifically?
First of all, you have to learn calculate the amount of water in and out, because the amount of water and urine is related to how much. The formula is: the patient's daily water intake = the total urine volume of 1st before 500ml is appropriate.
This water intake also includes the recessive water content in the daily intake of food. For example, fresh fruits and vegetables have a moisture content of 65% or 90%. Therefore, these recessive water contents should be included in the calculation of patient intakes.
In addition, patients with oliguria or anuria in the terminal stage of the disease should not blindly limit the intake of water in order to prevent further deterioration of renal function, and should be treated differently for the purpose of protecting the residual renal function of the patients.
For renal edema, nephropathy hospital experts give the following suggestions:
Limit sodium salt: nephritis or nephrotic edema have sodium water retention, must limit sodium salt intake, but to appropriate, long-term sodium ban can lead to hyponatremia.
Diuretic: use diuretics at the same time as limiting sodium if necessary, which can promote sodium excretion and relieve edema, hypertension and heart load.
Control of proteinuria: proteinuria must be controlled for nephrotic edema, immunosuppressive drugs can be used to restore the normal permeability of glomeruli.
Bed for rest, supine can increase renal blood flow, improve glomerular filtration rate, reduce water and sodium retention, mild edema patients bed rest and activity alternately, activity should be limited, serious edema bed rest. And raise edema limb to facilitate blood flow, reduce edema.