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Treatments for Chronic renal insufficiency

Treatment List for Chronic renal insufficiency

The list of treatments mentioned in various sources for Chronic renal insufficiency includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Treatment of chronic renal insufficiency is dependant upon the underlying cause of the kidney damage, the severity of the kidney damage, the age of the patient, and any other health problems that the patient might have. Treatments include:
    • Treatment of underlying cause - e.g., hypertension, diabetes, autoimmune diseases. This is very important in order to limit or slow the progression of renal disease
    • Observation and regular monitoring if renal impairment is mild
    • Avoidance of medications that may contribute to further renal damage - NSAID's, IV contrast
    • Smoking cessation - people who continue to smoke progress to end stage renal failure sooner
    • Close management of high blood pressure, whether it is a cause or result of renal disease
    • Use of ACE inhibitors - in patients both with and without proteinuria, has been shown to slow the progression of renal failure
    • Dietary management as indicated depending upon the degree of renal impairment
      • Protein restriction - may have a role in slowing the progress of renal failure, and is important to manage uremic symptoms in advanced failure, but needs to be managed carefully to avoid malnutrition
      • Salt and water restriction as necessary to manage fluid overload
      • Phosphate restriction
      • Potassium restriction as necessary
    • Erythropoietin agonists - for management of anaemia associated with chronic renal failure
    • Phosphate binders - for management of hyperphosphatemia in chronic renal failure
    • Calcium supplements - for hypocalcaemia associated with chronic renal failure
    • Calcitriol and other Vitamin D supplements - for hypocalcaemia and hyperparathyroidism associated with chronic renal failure
    • Sodium bicarbonate - for acid-base disturbance
    • Diuretics - may be used in situation of volume overload
    • Renal dialysis - used when there are manifestations of uraemia and the GFR is < 10mL/min
    • Renal transplantation

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Drugs and Medications used to treat Chronic renal insufficiency:

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Some of the different medications used in the treatment of Chronic renal insufficiency include:

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