the daily care of diabetic nephropathy patients ?
1, Explain the dangers of diabetes to the patients and their families, diabetes control by reducing blood sugar can reduce the pathological changes of nephropathy, drug hypoglycemia are mostly Western drug control, such as biguanides, sulfonylureas, α-glucosidase inhibitors and thiazole Etc., these drugs have significant drugs on the rapid hypoglycemic, but it still has certain shortcome on the prevention and treatment of complications of diabetes, there are still some deficiencies in these areas. While the traditional Chinese medicine methods, although the effect on the hypoglycemic is slower, but it has the advantage on treating complications.
2, Patients should pay attention to work and rest, patients without hypertension, edema,renal dysfunction, patients with few protein may be appropriate to participate in physical exercise to enhance physical fitness, prevent infection; for patients with obvious edema, high blood pressure patients or renal dysfunction patients should strengthen our body, emphasize bed rest, according to the condition to give the appropriate level of care.
3, monitoring body weight, 2 times a day, wearing the same clothes in a fixed time measurement.
4, observing the urine output, color, traits changes: report to physicians when has clear abnormalities timely , at least doing urine test and urine specific gravity once in a week.
5, observing the patient's blood pressure, edema, urine output, urine test results and changes in renal function: oliguria, edema, high blood pressure, should be promptly reported to the competent physician and give the appropriate treatment.
6, observing the patient's consciousness, breathing, blood pressure, heart rate changes: pay attention to hypertensive encephalopathy, heart failure symptoms
7, close observation to the patient's biochemical indicators: observe whether there is anemia, electrolyte imbalance, acid-base imbalance, urea nitrogen elevation and so on or not. Such as abnormal doctor timely treatment report.
8 Guiding the use of insulin for patients, according to blood glucose, urine sugar dose to calculate the dose of insulin. Providing an environment that is quiet and free of infection.
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