2014 kidney wind (Focal Segmental Glomerulosclerosis) nursing program

A common syndrome
(A) the wind v renal syndrome: swelling in the face or limbs, wind onset orrecurrence of wind or wind aggravation or delayed a long time does not heal,joint discomfort, more bubbles in urine, pale and dark, lumbar debility, fatiguefatigue. Pale tongue, and MOSS thin yellow or white.
(B) the damp syndrome: seriously swollen, thoracic and epigastric swellingstuffy, hot, thirsty, scanty and dark urine, or stool, or loose stools-delay ofsorts. Red tongue, yellow greasy Moss.
(Iii) kidney collateral stasis syndrome: kidney protracted course of disease,recurrent, when swollen, until the breastwork and lustreless, bone pain. Darktongue there petechiae or ecchymosis.
A common syndrome
(D) wet of kidney deficiency and blood stasis syndrome: swelling of extremitiesless, face, lips, dark bronze with delay, abdominal veins exposed, hot palms andsoles, lumbar debility, or women with colored dark red and purple, or throughless through close and dark urine. Red tongue or dark purple, yellow and thick.
(E) the deficiency of qi and Yin syndrome: swelling time, face swelling ofextremities less, shortness of breath, fatigue, hot palms and soles, dry throat,leader of dizziness, lumbar debility, often sweating or sweating, urine shortred, mamillata little Moss or pale tongue and side bars. (F) the spleen-kidneyYang deficiency syndrome: body swelling below her waist, according to sag, not easily come back, abdominal distension stuffy, anorexia, loose stools, sallowcomplexion, God is tired and cold extremities, or cold and pain in waist, urineshort. Fat pale tongue, white slip, or white fur and thick.
Second, the common symptom/syndrome nursing
(A) bubbles in urine (proteinuria)
(B) edema
(C) hematuria
(D) the dizziness, high blood pressure
(E) the urine abnormalities (oliguria, anuria; polyuria, nocturia)
(F) lumbar debility
(A) bubbles in urine (proteinuria)
1. urine bubble and dissipation. Doctor collected urine, a 24-hour urine proteinand urine micro protein and so on. Specimens collected should correctly, ontime, avoiding excessive dilution or concentration in urine to prevent samplecontamination or degeneration. 2. observe there is no fever, strenuous exercise,and changing body position on patients with bubbles in urine (proteinuria)effects. 3. a large number of bubbles in urine (proteinuria), dominated by bedrest, proper bedside activities. Should be regularly rolled over bed, dorsal flexion, dorsiflexion motion, after the remission, you can gradually increaseyour activity. 4. good oral, skin, perineum and other care, avoid repeatedillness due to infections, increase in proteinuria. 5. the prescribedmoxibustion, desirable air-sea, guanyuan, zusanli acupoint.
(B) edema
1. to assess the degree of edema, position, monitoring body weight, waistcircumference, volume, etc. Severe edema should be on bed rest, recorded 24-hourintake, focus observe changes in blood pressure, heart rate, respiratory andkidney functions. Height of lower extremity edema patients, need to observeswelling degree of symmetry of both lower limbs, with or without pain, hightemperature conditions, detect the thrombotic event. 2. keep the skin clean anddry, soft loose clothes, regularly turn to prevent skin breakdown and infection.Head pillow should be the palpebral oedema; edema of lower limbs should beraised a foot; scrotal edema of scrotum hold up. Severe hydrothorax and ascites
Timely take half-sitting position. 3. proper control of water quantity, directthe amount of income, keep a balance of intake.
(B) edema
4. When you use captured by agents, or diuretics, should pay attention to themonitoring of blood pressure, urine volume, and the number and volume of stool,preventing effective shock caused by decreased blood volume and electrolytedisorders. 5. physician's herb soaking. 6. the prescribed Chinese herbal medicine external application. 7. the physician's traditional Chinese medicinefumigation.
(C) hematuria
1. distinguish the urine color and character. Regularly check urine, urine Red
Correlation of cell volume changes, repeatedly and daily life, such as anactivity, sleep and fatigue, and there is no infection and other factors. • 2.hematuria syndrome or both kidney collateral stasis syndrome, prescribed forpromoting blood circulation Chinese herbs, care should be observed in the skinwithout bleeding, mouth, gums and other parts of female patients, such as bychanging the menstrual period.
(D) the dizziness, high blood pressure
1. step up inspections, monitoring blood pressure. Vertigo occurs, try to keeppatients on bed rest. If severe headache, vomiting, increased blood pressure,blurred vision, immediately report to physicians, do rescue preparations. • 2.antihypertensive drug, attention to monitoring dynamic change of blood pressureand avoid pressure too fast. And to observe the antihypertensive drugs mayimpact on renal function. Normal blood pressure should be controlled within130/80mmHg, >1g/24 hour for urine protein, blood pressure should be controlledin 125/75mmHg. • 3. physician's Auricular, take the door, God, heart, liver,blood pressure ditch sympathetic points. • 4. physician's acupressure, take thewind pool, Bai Hui, Sun and other points.
(E) the urine abnormalities (oliguria, anuria; polyuria, nocturia)
1. the oliguria and anuria is kidney severe wind, focus on blood pressure, heart rate, breathing, consciousness, such as 24 hour access to change, paying particular attention to presence of high potassium and high blood volume,acidosis and its effects on heart and lung function. Strict control of waterintake and keep intake balanced. 2. observation on patients with polyuria,nocturia, specific gravity of urine, urine osmolality, urine output, such asfrequency of urination. 3. the prescribed moxibustion, take shenshu, guanyuan,zusanli with life gate, sea air, two groups of points sanyinjiao alternate,intermittent applications. 4. the prescribed Chinese herbs colon irrigation.
(F) lumbar debility
1. to observe nature, location and symptoms associated with pain, pay attentionto
Extrarenal factors cause low back pain. 2. acid in patients after Renal puncturelumbar pain condition, generally taboo within the 3rd postoperative physicaltherapy at the waist. 3. the physician's Auricular, harvesting, lumbosacral, and other points. 4. the prescribed moxibustion, take shenshu, sea air, guanyuanpoint. 5. physician's herbal, taking double sided shenshu, Jiao Yu and otherpoints.
Third, the characteristics of traditional Chinese medicine treatment and nursing care
(A) drug therapy
(Ii) characteristics of technology
(A) drug therapy
1. herbal decoction: clothing tonic herbs, should be observed with exogenous,injury-free food, stagnation, signs of dampness, such as in case of drug benefitHIV/AIDS enough of evil. Traditional Chinese medicine activating blood circulation xiaozheng, observing the skin, mucous membranes, mouth and otherparts with or without bleeding, Renal Biopsy should be prescribed before and after deactivation. Dispelling wind and dampness Chinese medicine such as Lei Gong Teng tablet, prescribed patients have no gastrointestinal discomfort aftertaking the medicine, and to observe changes in the menstrual cycle, if menstrualdisorders, amenorrhea and other abnormalities, and
B) techniques
1. the external application of herbal medicine: (1) Glauber: Glauber's saltpounded to a powder or fine granular, into a discharged private bag, evenlyspread out, sticking to the treatment site. Discharged each time 8-10 hours, 1times a day. (2) the hot application of Medicine (TCM reyanbao): medicine in theform reyanbao, 40~50℃, topical in bilateral shenshu, Jiao Yu and other pointsto keep warm during treatment, asking whether there is discomfort, such as atopical skin burning, scalding sensation should stop treatment immediately.Gently wipe the skin with a towel after the end of treatment. 20-30 minutes at atime, 1~2 times a day (see Appendix 2). 2. Herb soaking: Herb soaking time in patients with lower extremity edema, knee following skin should be fullysubmerged in liquid. Water temperature 40~42℃, daily or every other day 1 (seeAppendix 2). 3. traditional Chinese medicine fumigation (see Appendix 2). 4.Chinese medicine total colonic lavage (see Appendix 2). 5. the moxa (seeAppendix 2). 6. Auricular points (see Appendix 2). 7. acupressure (see Appendix2).
Four, health guidance
(A) live
(B) dietary guidance (iii) emotional conditioning
(A) live
1. maintain Ward's quiet fresh, daily life sometimes; comply with the fouro'clock, avoided six evil invasion. 2. keep your mouth, skin and perinealcleanliness to prevent infection. 3. avoid renal injury in aggravating factorssuch as overwork, etc. Caution damage to the kidneys, drugs and food. 4. regularmonitoring of blood pressure, controlling blood pressure in an acceptable range.5. exercise helps increase physical fitness, such as Tai Chi, Ba Duan Jin and so on. 6. guidance for patients with TCM methods of self-care, such as acupressure, etc.
(B) dietary guidelines
5. Qi-Yin deficiency syndrome: Yi Shi Qi nourishing Yin foods, such as Lotus seeds, red dates, yams, black rice, Chinese wolfberry, and so on. 6. Yang deficiency of spleen and kidney: should be fresh and invigorating the spleen andkidney and warming Yang diuresis food such as yams and papaya, Coix seed, Lotus seeds, red dates, such as Loach. 7. edema, hypertension occurs when low-saltdiets, recommended daily salt intake to 2~3G, diet, salt salted vegetables(fennel). Highly swollen when doctor salt-free diet in the short term. Renalinsufficiency (GFR is less than 50ml/min), should limit their protein intake,protein 0.6~0.8g/kg.d, and accounted for more than 50% of high quality protein.Very low protein diet (0.3~0.4g/kg.d), should also be combined with alpha-Ketoacid therapy. If necessary, you can replace part of the staple food of wheatstarch, guarantee full calories.
(B) dietary guidelines
1. wind underlying renal syndrome: Yi Shi qufeng tongluo foods such as wood
Melon, luffa, cherries, etc. • 2. damp permit: advised to eat food of clearing heat and removing damp, Coix seed, gourd, bitter gourd, crucian carp, and so on.• 3. kidney collateral stasis syndrome: Yi Shi Huo Xue Jie, Qi Qi's food, such as Hawthorn, walnuts, mushrooms, seaweed, kumquats, and so on. • 4. dampness and blood stasis syndrome of kidney deficiency: Yi Shi tonifying kidney and activating blood and clearing heat and removing damp food, such as yams,walnuts, cherries, etc.
(C) the emotional conditioning
1. the duration of the disease and illness repeatedly, and depression inpatients with good care, feeling restless, shunqing method can be used, open
Patients with negative emotions, Yu-Chang, cathartic emotion. 2. the use ofsteroids, immunosuppressive patients worried about side effects, mental stress,enlightened method of reasoning can be used, and how to communicate withpatients about mental health, specific interpretation, provide psychologicalsupport. When patients such as yunu, restlessness when liver Yang Kangcheng,increased blood pressure, timely psychological, speech, behavior, avoid adverseenvironmental factors such as stimulus. 3. relax, distract empathy method isused, such as listening to music, relaxation, exercise and so on; Encouragepatients to cultivate interest in life, their chores and social participation,such as gardening, cooking, chess, etc.
Five, nursing difficulties
Poor medication compliance solutions 1. strengthening health education andincrease awareness of her condition to understand drug effects, side effects ofmedication and the considerations and objective understanding of the pros and cons of drug therapy, actively cooperate with the treatment.

2. the development of a follow-up system, regularly, to improve treatmentcompliance.

How to Treat Kidney Infection with Kidney Failure

Kidney infection is a very common symptom of kidney Failure. Right now, there is no curative effect about western treatment, so, so how exactly does Chinese therapy to deal with kidney infection with renal failure?

As we all know, kidney is among the most important organs in our body, if kidney is broken, it cannot keep the normal operation of body, so, patients are experiencing a series of signs and complications, such as, kidney infection. Once kidney is infected, patients can experience fever, chills, fatigue, dull pain, lower back pain and so on.

Nowadays, the common strategy to kidney infection is western drug. To be honest, it really can relieve the sign, but it can not treat renal damage from the root. Once drug is stopped, kidney infection will relapse. And meanwhile, medications can bring a set of negative effects, such as, the stimulation to stomach.

So, how does Chinese therapy to deal with kidney infection with renal failure?

There is a characterized therapy called Hot Compress Therapy. Throughout the course, by blocking the advancement of renal fibrosis, repairing injured kidney tissues and cells, rebuilding inherent kidney structure, kidney damage can be repaired. After several courses, kidneys can function correctly and kidney infection can be alleviated.

You don't have to bother with the method, since it is used externally and may not cause any side effects to the body. In the intervening time, due to all of the medicine is from nature, thereby, it can not do harm to your body.

Aside from, Medicated bath is another effective method, having a foot bath or whole body bath, the active medicine could be absorbed by kidney lesions through skin and channels. Following the bath, patients may have hot sweat, which indicates certain toxin has been discharged out of the body.

Diabetic Nephropathy and Life Expectancy

Many Diabetic Nephropathy people are doing dialysis to maintain the life span, well, can they get eliminate dialysis? Just how long can they survive dialysis with diabetic nephropathy?

Dialysis is an emergency treatment, it can benefit kidneys to discharge the toxin, wastes, creatinine along with other unwanted matters in body. For diabetic nephropathy patients, as a result of series of signs and complications, massive toxin, high Creatinine level in body, most patients will choose dialysis to keep their life.

So, how long are you able to survive dialysis with diabetic nephropathy?

Long-term dialysis is not good for patients' illness condition, eventually, patients may lose all the renal function. Once dialysis is stopped, the twelve signs and complications might be more severe. To be honest, dialysis can only prolong the life span expectancy for 3-5 years. However, the life expectancy also depends on patients' own condition, because the illness condition of everyone differs.

It comes with an effective manner in which can avoid dialysis and improve renal function, that is Blood purification. Within this treatment, not just micro-molecule toxin, middle molecule substances, but also macro-molecule matters may also be taken off your body. And meanwhile, within this treatment, some fresh blood, essential nutrients can also be added into patients'blood. Gradually, renal function could be improved make up the root. As long as renal function is enhanced, patients could possibly get eliminate dialysis. For more information? Contact with online doctors now.

Besides, a healthy diet will also help to prolong the life expectancy, for example, limit the intake of salt, avoid an excessive amount of protein and fat, take notice of the foods that are rich in potassium and phosphorus. These diet details can reduce the burden of failed kidneys.

How to Treat Low Blood Pressure in Diabetic Nephropathy

Generally, the occurring of low blood pressure in diabetic nephropathy is related to renal damage. Since within this disease, the failed kidneys can not secrete enough renin, so, the shortage of renin will result in low blood pressure. In certain severe cases, low blood pressure even can result in cataphora, thereby, an effective treatment for the sign is significant.

Based on abundant treatment practices and clinical study, we've invented an effective method called Hot Compress Therapy. Differ from other treatment, it not only avoids the negative effects of oral drugs, but also it reduces the pain from surgery. Mostly, with the help of osmosis device, the activity of medicine could be penetrated into Shenshu acupoints adequately.

Throughout the course, by improving the blood circulation from the whole body, changing the condition of ischemia and hypoxia, repairing renal damage, renal function is going to be improved. In case kidney can execute its function as normal, it will produce enough renin. In this case, low blood pressure can be alleviated.

Besides, diabetic nephropathy with low blood pressure patients can keep a reasonable diet to alleviate the sign. Such as, they should eat some high-quality protein, for instance, milk, lean meat, fish. And meanwhile, low blood pressure patients should eat more nori, agaric, kelp, broccoli so as to supply iron element. However, there are still have many diet limitations and suggestions. If you wish to learn more details, contact with our online doctors now.

Does Chronic Kidney Failure Show Reduced Urine

For patients with chronic kidney failure, it is very common that they have urine changes. Some patients have reduced urine. So, will it implies that chronic kidney failure show reduced urine exactly? Here we can make a specific introduction for you personally, hoping useful and helpful.

Because of chronic kidney failure, kidney is impaired and kidney function decreases. In this manner, kidney can't remove many wastes from body. And urine is produced when kidney filter the blood, removing wastes. In this way, urine is going to be produced very less.

Thus, patients with chronic kidney failure are extremely prone to reduced urine. What is worse, when developing into end stage kidney failure, kidney function is nearly lost completely, leading to no urine at all.


However, apart from reduced urine, patients with kidney failure may also have more urine, especially frequent urine at night. This is because kidney tubules are damaged, and many useful substances can not be reabsorbed by kidney tubules, resulting in much loss of water or fluids. And these water will leak out through urine, leading to frequent urination.

Thus, we can know reduced or increased urine is very common for patients with chronic kidney failure. The main is decreased kidney function. Patients with kidney failure should focus on recovery of kidney function. Chinese medicines can be good options, which could prevent kidney inflammation, repair kidney damage and recover kidney function.

How to Treat Muscle Spasms from Dialysis for CKD Patients

Dialysis is really a kidney replacement therapy that will help failed kidneys to remove toxin, Creatinine along with other extra substances. To tell the truth, it truly can relieve signs and complications. And meanwhile, additionally, it may brings some side effects, for example, muscle spasms, vomiting, headache, etc.

In most cases, the occurring of muscle spasms has close relationship to the shortage of calcium element. During the course of dialysis, massive calcium element will forfeit with dialyzate. Besides, because of the diet for CKD patients is extremely strict, long-term diet limitation may cause the shortage of calcium, in this instance, patients will even experience muscle spasms.

Right now, the most common treatment for muscle spasms in dialysis is oral western drugs, but oral drugs can't relieve the sign from the root. So, the therapy effect isn't obvious, and meanwhile, patients will experience many negative effects, for example, the stimulation to stomach.

However, in Shijiazhuang Kidney Disease Hospital, we are able to promise, so long as you have relict kidney function, we can make you eliminate dialysis, so long as you avoid dialysis, you can avoid muscle spasms. So, just how can we attain the goal? We invented a new method called Micro-Chinese Medicine Osmotherapy, which is often used externally and avoids along side it results of oral drugs.

Most significantly, by blocking the progression of renal fibrosis, repairing injured kidney tissues and cells, rebuilding inherent kidney structure, kidney function can be improved. Once kidney function is enhanced, CKD patients can get rid of dialysis gradually. In this way, you'll be able to get rid of muscle spasms.

Can I Possess a Normal Life with Stage 5 Kidney Failure

Stage 5 renal failure is the most severe stage of renal failure, in this instance, patients have to choose dialysis to maintain the life. However, as we all know, dialysis is not an effective way, it can not improve renal function in the root and it can not provide you with a high-quality life. Well, can i own a normal life with stage 5 renal failure?

The reply is YES. Vary from the common treatment, for example dialysis in western countries, we invented an innovative method called Hot Compress Therapy, that is an combination of Traditional Chinese Medicine and western technology. First, the medicine will be micronized so that the activity of drugs can release adequately. Then, patients lie on the two bags contained shattered medicine, using osmosis device, effective constituents of medicine could be penetrated into Shenshu acupoints directly.

Additionally, by increasing the blood flow from the whole body, changing the health of ischemia and hypoxia, providing important nourishment for the damaged kidneys, renal function can be improved gradually. As long as kidneys can carry out its function normally, stage 5 renal failure patients can avoid dialysis and own a high-quality life.

In addition, a correct diet can also help to delay the progression of renal failure. Patients should limit the consumption of salt, avoid an excessive amount of rich protein foods, animal inner organs, alcohol in order to reduce the burden of failed kidneys. Within the meanwhile, moderate high-quality proteins are OK, for example, lean meat, milk, egg white and so on.