Chronic renal failure stage IV should be treated actively for underlying disease, control blood pressure, blood glucose, control complications such as anemia, calcium and phosphorus disorders, avoid nephrotoxic drugs, etc. in order to delay the time of entering dialysis.
The glomerular filtration rate of chronic kidney disease stage IV is between 15 and 29 ml/min, during this period to treat the underlying disease, such as controlling blood pressure, blood glucose, uric acid, etc. in the target range, to reduce the protein intake, at 0.6 to 0.8 g per kilogram of body weight per day, in order to prevent malnutrition, oral ketoacetic acid tablets can be taken to supplement essential amino acids.
To treat complications, use erythropoietin to treat renal anemia; use calcium and osteotriol to correct calcium and phosphorus metabolism disorders; orally take urotoxin and nephrocon to promote the excretion of toxins; and control water and the intake of high-potassium and high-phosphorus foods to prevent the occurrence of heart failure and hyperkalemia.
Avoid the use of nephrotoxic drugs, appropriate exercise to enhance physical fitness, avoid colds, diarrhea, infections and other triggers that cause acute aggravation of renal function.
For those with chronic kidney disease stage IV, it is recommended to go to regular hospitals for regular follow-up, under the guidance of doctors for treatment and pre-dialysis preparation according to the situation. The above medication should be used according to doctor’s prescription, and should not be used without authorization, so as not to aggravate the condition.