Daily diet nursing
The reasonable proper diet nursing of patients with hemodialysis doesn’t keep the favorable state of nutrition, prevent and relieve complications, but also better the curative effect of dialysis such as weight, Cardiothoracic Ratio(CTR), blood pressure, biochemistry, and anemia, in order to strengthen the ability of adapting to normal life and social activities.
Control water intake.
Patients with hemodialysis should control water intake. If patients with oliguria or anuria drink much water, it can induce acute left heart failure and uremic heart disease. In addition, if the dehydration of one time of hemodialysis is up to 4kg-5kg at excessive speed, it will bring severe influence on heart and so on.
Therefore, patients should limit water intake during hemodialysis, and experts suggest that patients had better develop the habit of weighting daily. With the steady content of fat and muscles, the water content fluctuates with daily intake greatly. So the daily increase of weight of patients shouldn’t more than 1kg, and ≤5% during dialysis.Can End-stage Kidney Disease Be Reversed or Improved
TIPS: skills of controlling water
1. divide the daily water equally with certain container, or mix water with lemon juice to freeze into ice. When patients feel thirsty, they can take one piece of ice into mouth.Treatment Options for Stage 5 Kidney Disease How Many Chances Stage 5 Kidney Failure Undergo the Dialysis
2. feeling thirsty, you can wet mouth with cotton swab or gargle. If you are very thirsty, you can take a little water.
Prevent hyperkalemia
Hyperkalemia influences human body negatively. Severe hyperkalemia can retrain systole and make heart beat irregularly. Patients feel muscle ache, being feeble, paralysis, and even dyspnea. This symptom appear commonly among patients with Uremia, especially in the end stage of Kidney Disease (End Stage Renal Disease(ESRD)). Therefore， patients with dialysis should pay more attention to potassium (K)content in diet. Some foods like vegetables, fruits, nuts, tomatoes, mushrooms, cocoa, chololate, instant coffee and so on contain high potassium. Patients need take kalemia concentration in blood and adjust the intake to avoid hyperkalemia or hypokalemia.
TIPS: wash foods before eating
If patients must eat those foods with high kalemia, they are supposed to avoid this kind of food or take some measures to reduce kalemia like soaking, boiling, refrigerating in ultralow temperature.
1. vegetables: soak in hot water or boiling water before eating.
2. fruits: first soak in warm water, and then pare pericarp.
3. meat: thaw after refrigeration, and then cook after soaking meat in boiling water.What Are Signs One Needs Dialysis
Mentality nursing Management of Sore Ankle in Dialysis Patients
For patients with Chronic Renal Failure, the process of Dialysis may be long-term and even in their whole life. So patients don’t suffer from only pains in body, but also bear heavy burden from economy and mentality. Most of relatives and patients sustain psychological problems in different degree and are influenced in the quality of life. Aiming at these problems, experts put forward some feasible advice:What Is the Natural Cure for Kidney Failure
1. Deal with complications during dialysis actively;
Coordinate the relationship of patients, family, and society to decrease the depression and anxiety caused by themselves and social factors;
In the dialysis treatment, we should encourage patients to take part in social activities and to do exercises properly, helping them to solve social or family problems furthest.
2. Take care of the family members of patients;
Patient relatives are the group with high risk of disease of mind and body, some of whom are the potential patients. The care in mentality and material from relatives can influence psychological state of patients greatly. Relatives should communicate more with patients to give them great support and confidence.
Patients, especially women, are more sensitive and frail.
The incidence of mentality problems is higher. So they should be taken more notice of.
Give them more sympathy and support; listen to their complainment; help them abreact anxiety and depression; focus on the publicity of healthy knowledge to enhance their self-care ability
Management of chronic complications
One hundred percent of patients are accompanied by complications. The treatment of renal failure must be followed by dialysis, medicines and diet control, in addition to complications. Whether doctors or patients, that is a giant challenge. As a result, patients are supposed to get a clear understanding of complications and to take better corresponding measures.
Hypertention: keep taking medicines even without uneasy feeling.
60% patients with Chronic Renal failure bear Hypertension. At this moment, if hypertension hasn't been controlled well, it will induce vicious circle. long-term Hypertension can give rise to angina, myocardial infarction, abnormal heart rate, heart failure and so on; make stenosis of blood vessel in brain, leading to angiemphraxis of brain arteries and paralysis; increase the brittleness of blood vessel wall of brain, arousing angiorrhoxis and cerebral hemorrhage.
cardio-cerebrovascular diseases(CCVD) becomes the chief fatal factor causing Uremia. Therefore, patients must keep taking medicines even without any uneasy feeling, to control blood pressure not more than 140/90mmHg.
Renal Osteodystrophy: diagnosis and treatment in early renal failure
Renal Osteodystrophy is also called renal bone disease, which is one of complications of renal failure. In general, after three-year dialysis,
patients suffer from Renal Osteodystrophy of different degree.
Due to increasing phosphorus, hypocalcemia, kidneys can not secrete activated vitamin D, secondary hyperparathyroidism and other factors, so patients should pay attention to avoiding tumbling. Pains of Renal Bone Disease occur in back, lower limbs, knee and hip and so on. This kind of pain can be worsened when patients are with heavy burden. Therefore, Renal Bone Disease should be diagnosed and treated in early renal failure, and patients should exam levels of blood calcium, phosphorus and parathyroid hormone.
With the high morbidity of Chronic Kidney Disease, we should pay much attention to this kind of disease to avoid making it threaten our lives. Because the early symptoms are not easy to be discovered, we are supposed to be cautious to prepare precaution and treatment of this disease. we should keep this idea in mind that no matter what disease we suffer from, Cancer or Uremia, if only we are positive and confident to ourselves and our doctors, we also can live a colorful life and even more meaningful than others! That is not a dream at all. The builder of our life is very ourselves. If we endeavor, everything is possible! Best wishes for all patients with Uremia!
