2013年12月19日星期四

Hemodialysis patients diet care what


Hemodialysis patients diet care what ? Dialysis uremic patients to late to do a deal . If you do not attack , then uremic patients will be unable to send independent urination. Therefore , hemodialysis patient's diet is a major problem. Today we'll take you to see hemodialysis patients what care diet .
Sodium chloride is the most abundant extracellular solutes in regulating extracellular fluid volume and blood volume plays a big role . In healthy people , through the kidneys regulate , maintain sodium balance . When uremia , discharge urine sodium decreased, even low-sodium diet can also cause sodium retention . In the beginning hemodialysis within a few weeks or months , to further reduce the residual renal function , patients had little or no urine will further increase sodium retention. In this case, excessive sodium intake can lead to excessive weight gain between dialysis , hypertension, edema and congestive heart failure, and therefore should be strictly controlled sodium intake .
Generally, raw food, the higher sodium content of processed and canned foods , should reduce intake. Chinese herbal medicine extracted from sodium alternatives to meet the tastes of the patient , but substitutes containing potassium chloride , sodium , patients will lead to hyperkalemia. Currently recommended maintenance hemodialysis patients daily intake of sodium l o00 ~ 1 500 mg. Sodium is a key regulator of extracellular fluid volume factor is the volume of plasma- cell tension adjustment , the film tension and depends on the balance of water. Thirst water balance is very important sign , so despite severe renal free water removal or retention function decline , but by regulation of thirst and drinking tension still maintain the plasma in the normal range . In short, the maintenance hemodialysis patients drinking no more than 1000 ml / day , including food, water content.
Normal , day 80% to 90% by volume of renal excretion of potassium complete rest excluded ( 7-10 mmol / day ) from the feces . Normal kidney filtration almost all potassium reabsorption , urinary potassium by renal tubular secretion . Uremic patients urinary excretion of potassium was significantly lower , the amount of discharge from the feces of potassium to l4 ~ 20 mmol / day.
In general , hemodialysis patients of potassium in the diet should not exceed 70 mmol / mortar , this amount on the vast majority of patients can afford. Hemodialysis patients , especially in patients with anuria high risk of hyperkalemia . When potassium > 7.0 mmol / l , the fatal arrhythmia occurs . Hemodialysis patients should understand the potassium content of food , eat or Eat foods rich in potassium . Because stool can rid the body of the remaining potassium, so to prevent and treat constipation. Serum potassium > 6.0 mmol / l potassium should be used in patients 0 to 1.0 mmol / l potassium dialysate . For patients who can not adhere to low potassium diet , you can take in between dialysis ion exchange resins , such as sodium polystyrene or enemas to eliminate potassium in the body.
Have you clearly hemodialysis patients diet care what ? If you have suffering from uremia side who must take this tell him to avoid errors proposal is the most critical.

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