For patients with renal failure polyuria acute care measures

For the clinical symptoms of acute renal failure in patients with different, it can be divided into three stages, and oliguria, polyuria and recovery phases. Polyuria stage, the patient's urine output increased, but in the initial stage of renal clearance rate is still not improved. But after a few days, toxins and other metabolites patients with increased urine output will gradually eliminated from the body, the patient's symptoms will get better.

So for patients with acute renal failure in polyuria phase should be what kind of care it? Polyuria stage can be a turning point in the patient, if proper care, the patient's condition can be a good recovery, but if you can not care when, then, it is likely to cause the patient's condition worsened again. So today we will give you a brief look at the urine of patients with renal failure and more acute care measures.

1, due to renal insufficiency, the patient's sodium retention leads to fluid overload patients.

(1) clinical features of patients with systemic edema, skin shiny, patients with severe cerebral edema, pulmonary edema and heart failure and other symptoms.

(2) nursing

① strict accordance with the doctor's orders to control the intake of daily fluid intake and daily food moisture.
② every 12 ~ 24h 24h record of fluid intake and balance of the patient and K +, Na +, C1- other electrolytes out of balance.
③ record vital signs every 24h 1 times, observe the cardiopulmonary function and state of consciousness of the patient.

Skin and other organs of the body symptoms of edema (3) the expected effects of the patient's regression, no other complications.
Polyuria acute renal failure in the general case is quite often happens, the disease on the current medical technology is still relatively good treatment. But we must go on the situation in the most timely treatment, do not delay the disease, missed the best treatment time, so the face of the disease, when we must not have too much psychological pressure, to maintain stable state of mind, optimistic face everything.

2, changes in eating habits to reduce the patient's azotemia, to avoid aggravating the condition should be given to patients with diet therapy.

(1) clinical features of critically ill patients should be fasting, relying solely on intravenous infusion therapy, enteral nutrition, or administration. Patients can wake up to eat, should be given to patients with moderate protein, high-calorie, easily digestible diet to complement the missing patient nutrition, also contributes to the patient's condition.

(2) nursing

① Press special dietary ingredients, strict restrictions and management of patients with drink supplies, food supplies.
② strict record the type and amount of dietary intake and food contained fat, protein and sugar.
③ nutritional therapy shall be given. Our objective is to reduce the degree of protein catabolism. Because the metabolism of carbohydrates and fats end products are mainly carbon dioxide and water to produce nitrogen-containing substance and protein metabolism after acidic substances, increased uremia.

Therefore, the following principle arrangements diet:
a. enough carbohydrate, 100g / d, used to reduce protein catabolism. Hypertonic solution may be employed.
b. lack of fat and protein to provide heat to minimize or prevent negative nitrogen balance. Amino acids can be used as intravenous nutrition, will receive better results.

(3) the expected effect is not due to improper diet and worse, and the patient's nutritional status generally perform well.
Many small diseases people will always choose not to treat that patient's condition over time will get better themselves, in fact, this idea is wrong. All diseases are not delayed, so it is necessary for us to understand more about this disease down.

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