The treatment of acute renal failure should be analyzed according to the specific situation of each patient, and the patients can be treated by the following methods.
Active control of primary disease, the removal of the psychic factors aggravate reversible. First of all we want to appear correct etiology reversible acute renal injury, if it is serious, all kinds of traumatic heart failure, acute blood loss should make the appropriate treatment, including expansion, correct the patients with insufficient blood volume, shock, infection control and so on, should be controlled for the first time, to prevent disease progression.
Maintain the body's water, electrolytes, and acid-base balance. Patients prone to water load, it is prone to pulmonary edema, then there may be serious cerebral edema, so patients should be closely observed the body weight, blood pressure, heart and lung symptoms and signs of change, if found to have abnormal patients, should be dialysis treatment as soon as possible.
Correct hyperkalemia, hypokalemia patients when more than 6.0mmol/L, should closely monitor heart rate and ECG, and patients with emergency treatment if accompanied by metabolic acidosis may be given intravenous infusion of sodium bicarbonate, the use of oral Kayexalate drugs or furosemide diuretics promote urinary potassium excretion of potassium. If the above measures do not have obvious effect, dialysis treatment should be carried out as soon as possible.
If the infection control, patients showed signs of infection, should be promptly treated with antibiotics, according to bacterial culture and drug sensitivity test of choice for the treatment of patients with renal toxicity or low toxicity of drugs.
Blood purification treatment and blood purification play a very important role in the treatment of acute renal failure. The common modes are hemodialysis, hemofiltration and peritoneal dialysis, which are three basic types. It has a good effect in correcting the symptoms of hypoxemia, heart failure, severe acidosis and encephalopathy. In recent years, the application of continuous renal replacement therapy (CRRT) has greatly reduced the mortality rate.
As long as the early renal failure can be detected early, the treatment can be cured, so don't worry too much.
Beijing In China