Many people know that hypertensive patients prone to stroke, in fact, hypertension and uremia is also very close relationship. If hypertensive nephropathy does not undergo effective early systemic treatment, it will eventually develop into uremia, which is renal failure. Therefore, patients with hypertensive nephropathy should be closely monitored to prevent uremia, specific attention should be paid to the following aspects:
Keep your blood pressure at an ideal level. The census found that less than half of the patients who knew they had high blood pressure had less than 12.5% of those treated with hypertension; only 2.9% were able to take medication and control blood pressure at an ideal level. Therefore, in the whole society to promote hypertension publicity, and raise awareness of the dangers of hypertension imminent.
Closely monitor renal function. Controlling blood pressure at an ideal level is a prerequisite for preventing kidney damage. At the same time, we should closely monitor the renal function of patients with hypertension. Specific measures for:
Regular examination of renal function, including creatinine clearance, serum creatinine, and urea nitrogen, should be made 1 times every 2 months. If there is a close observation of the early symptoms of uremia, such as fatigue, backache leg soft weakness, loss of appetite or nausea and vomiting and other gastrointestinal symptoms, and sallow complexion, pale tongue, pale lips, eyelids etc. anemia. In case of any symptoms, the renal function should be examined immediately to determine if there is any abnormality. All patients with elevated creatinine clearance rate and elevated serum creatinine and urea nitrogen should be treated in time according to the early treatment regimen of uremia.
Rational choice of medication and treatment plan. There are many kinds of antihypertensive drugs and their indications vary. The basic principle of choosing antihypertensive drugs is no nephrotoxicity, or there is a protective effect on the kidneys. Studies have shown that angiotensin converting enzyme inhibitors, angiotensin receptor antagonists, calcium channel blockers, and beta blockers protect the kidney while lowering blood pressure.
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