In China, the phenomenon of excessive infusion is widespread and has always been a hot topic. Although there has been some convergence under strong intervention from the health administrative authorities, it remains a major problem in the medical industry.
We often receive patients with acute renal failure and acute progression of chronic nephritis in clinical practice, and many of these patients suffer from the onset of the disease due to infusion. There was once a patient who went to the clinic for infusion due to a small cold. During the process, his waist felt uncomfortable and became increasingly painful. The doctor thought he had been sitting for a long time, so he found a cushion for him and insisted on completing the infusion. After returning home at night, he couldn't bear the back pain and went to the hospital for a check-up: creatinine was over a thousand.
Ordinary people are still like this, and patients with kidney disease should be more cautious. You should know that infusion does not improve quickly, but it does not improve slowly.
After interviewing Dr. Shi from Huaxia Nephropathy Research Institute, we believe that there are five aspects that kidney disease patients need to pay special attention to:
1. Antibiotics
Many antibiotics require renal excretion, and antibiotics have a greater toxicity to the kidneys. Many patients with acute renal failure and acute progression of chronic nephritis are caused by administering antibiotics during mild colds.
2. Dosage of medication
The efficiency of kidney detoxification in patients with kidney disease is lower, which is slower than in normal individuals. For example, if a normal person uses 10g of medication, you may only be able to use 5g. The dosage of medication should be accurately controlled (this should be done by a professional nephrologist, not all doctors can control the dosage). Once a cold infection occurs, notify the doctor as soon as possible (the doctor's phone at Shijiazhuang Kidney Hospital is turned on 24 hours a day).
3. Liquid volume
For patients with edema, heart failure, volume dependent hypertension, and no urine, if the amount of fluid infusion is large, it not only affects the condition, but also may cause cardiovascular and cerebrovascular accidents, acute heart failure, and life-threatening situations.
4. Patients with fistula
For patients undergoing dialysis for fistula, it is important to avoid one limb of the venous fistula and choose the other side for infusion.
Why choose the other side? There are two reasons:
(1) Many liquids have vascular irritation, and prolonged infusion can cause damage to the endothelium of blood vessels, leading to blockage of arteriovenous fistulas. This is the patient's' life-saving channel ', if it gets blocked, it will be fatal.
(2) The infusion rate is difficult to grasp, to avoid problems that cannot be controlled.
5. Causes venous damage
Repeated transfusions for a week or half a month can cause problems with the elasticity and exposure of blood vessels, making it impossible to continue the infusion. If vascular problems occur in the early stages, and when uremia requires dialysis, the foundation of vascular access is not good, other methods must be used to establish vascular access, which will have an impact on the patient's economy, health, and quality of life.
Whether it's kidney disease patients or other patients, it's important to be cautious about infusion. It's important to remember that infusion carries risks and choose carefully.