Which kinds of diuretic of kidney disease

Update Date: Source: Network

summary

Kidney disease patients in the disease is mainly in the treatment time to protect renal function, so it is necessary to take diuretics, in the past, I also took care of patients with kidney disease, so I know what kind of diuretics is more appropriate, now let's get to know.

Which kinds of diuretic of kidney disease

Drug 1. Thiazide diuretics: patients taking such drugs for a long time should pay attention to prevent hypokalemia and hyponatremia. It mainly acts on the thick wall segment of the ascending branch of the medullary loop and the anterior segment of the distal convoluted tubule. It can increase the excretion of potassium and diuresis by inhibiting the re absorption of sodium and chlorine. Commonly used hydrochlorothiazide, 25 mg each time, 3 times a day, oral.

Drugs two, potassium retention diuretics: Patients with renal insufficiency should be careful to use such drugs. Patients taking long-term use should prevent hyperkalemia, mainly Acting on the posterior segment of distal convoluted tubules, * sodium excretion and chlorine excretion, which is suitable for patients with hypokalemia. Commonly used aminopteridine, 50 mg each time, 3 times a day.

Drug 3. Loop diuretics: Patients with such drugs should be prevented from hyponatremia, hypokalemia and hypochloremia alkalosis. It mainly acts on the ascending branch of medullary loop and strongly inhibits the reabsorption of sodium, chlorine and potassium. Furosemide is commonly used, 20 mg ~ 120 mg per day, orally or intravenously. In the process of medication, we should also closely monitor whether all indicators of patients are normal.

matters needing attention

Nephrotic patients in the treatment process in addition to diuresis, but also pay attention to more rest, but also to ensure a reasonable diet, especially to control edema.