How to treat nephrotic edema2017-10-02 16:14
In clinical nephropathy is a relatively common kidney disease, some patients with kidney disease occurs when there will be edema, although edema is the most common symptoms of nephritis patients. So, how to treat nephrotic edema? I will introduce you to the following.
Improve plasma colloid osmotic pressure, plasma or plasma albumin and other intravenous infusion can improve the plasma colloid osmotic pressure, and promote the organization of water back to absorb and diuretic, infusion of protein and then diuretic effect will be better. As the input of albumin will be 24 to 48 hours from the urine, can cause glomerular hyperfiltration and renal tubular metabolism caused by renal tubular epithelial cells and renal tubular epithelial cell damage, promote kidney Fibrosis. Should be strictly controlled to adapt to the whole, severe hypoalbuminemia, highly swollen and oliguria patients, in the case of diuretic may be considered.
Permeability diuretic, through a transient increase in plasma colloid osmotic pressure, can make the water back into the blood into the blood, in addition they are through the glomerular filtration, resulting in renal tubular hyperosmolar state, reduce the reabsorption of sodium and diuretic The Usually with low molecular weight dextran or 706 generation of plasma venous drip, once every other day, followed by the use of loop diuretics can enhance diuretic effect. But for urine less than 400ml daily, should be used with caution, can induce osmotic nephropathy, leading to acute renal failure.
Diuretics diuretic swelling, for nephrotic edema is mainly loop diuretics, including furosemide, bumetanide and dragged thiram, the application of this medication to prevent the occurrence of hyponatremia, hypokalemia and low blood chloride The occurrence of symptomatic alkalosis.
The principle of diuresis of edema of kidney disease should not be too fast, too much, so as to avoid effective blood volume deficiency, increased blood viscosity tendency, induced thrombosis, embolism complications.
The above is about the treatment of nephrotic edema related to the introduction, if you have disappeared on the method of edema need to communicate, you can contact our online experts, our experts will specifically for you to introduce.
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