Kidney patients, dialysis creatinine achieve much to do?

In theory, the endogenous creatinine clearance <which should begin hemodialysis or peritoneal dialysis 9ml / min. Under normal circumstances, creatinine greater than 600 ~ 800umol / L on or to start dialysis. But different underlying diseases and conditions, there are differences in the timing of dialysis, such as polycystic kidney disease patients can be late for some, but patients with diabetic nephropathy should prematurely; clinically significant hypertension, proteinuria, oliguria, dialysis should be early, on the contrary, if blood pressure normal, urine normal, dialysis may be partial late. If the following occurs: potassium (> 6.5mmol / L), acidosis (blood gas analysis HCO3- <15mmol / L or biochemical carbon dioxide combining power <13.4mmol / L), heart failure, pulmonary edema (Clinical manifestations can not ping lying, shortness of breath), obviously uremic poisoning symptoms, altered mental status, etc., shall be emergency hemodialysis.

Hemodialysis indications vary, therefore chronic renal failure patients need to pay attention to the following points:

① before hemodialysis to regular outpatient follow-up, let the doctor about the original disease, current symptoms, complications and the laboratory indicators, patients and their families should prepare psychologically and objectively, from the actual economic conditions starting, select hemodialysis, peritoneal dialysis, or kidney transplantation;

② prepare long-term hemodialysis patients, must establish vascular access, so the ideal approach is to listen to the doctor's advice, at least one month prior to the establishment of dialysis fistula;

③ patients and their families should follow the doctor's advice, timely dialysis, forced to avoid serious complications after emergency dialysis, then the risk and cost will be greatly increased.

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