Friday, January 11, 2008
Patient medication notes
Almost every day uremic patients need medication, but the pharmacological uremic patients and ordinary people is totally different. there are numerous cases, such as renal insufficiency patients eat uric acid drug skin off and the fatal, penicillin injections caused epilepsy, eating muscle relaxant into coma, not only non-kidney specialist doctors as uremic patients thorny thing, the patients themselves are often the loss. Another example considerable number of patients receiving treatment center I originally taken alone, "uremic Hope" series With diet, control of blood pressure and other measures can be gradually restored. But at the same time taking other "kidneys" drugs that multidrug keep up, and can be effective, but haste makes waste. In actual fact because of kidney failure, drug absorption after oral administration because of gastric emptying extended intramuscular injection of absorption, , which is not easy to effect. Even after the successful absorption due to uremic patients have the moisture accumulation in vivo situation, makes the drug in the body to the lack of change, coupled with repeated dialysis also made some drugs from the artificial kidney to filter out. As the toxin would make urine drug is not easy and protein combination, many drugs will be in the normal dose caused the poisoning uremic patients, for example, the normal dose injection of narcotic analgesics and antiepileptic drugs lead to respiratory arrest. Even through the liver metabolism of drugs through its renal excretion not, but based on the function of the liver has the function of the lower case, it still needs careful dose of discretion, if the reductions were not Punateng often leaves uremic patients abnormal liver function. The most people the situation is rocky uremic patients previously received the older drugs according to their own judgment, as in the past doses, not knowing him with the required dosage will be with the changes in renal function and different, for example, diabetic nephropathy in patients using insulin as renal failure and the deterioration of gradual reduction requirements, If remain as six months ago, the dose can lead to the use of low blood sugar coma or even become vegetative state. So uremic patients in a key drug, "Shen."
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