Elderly uremia medication to protect renal function and delay the progression of renal function for the main purpose, commonly used therapeutic drugs to correct metabolic acidosis drugs such as sodium bicarbonate, sodium water disorder prevention and treatment drugs such as furosemide, hypertension treatment such as valacyclovir, captopril, felodipine and so on, anemia treatment such as recombinant human erythropoietin and so on.
1. Correct metabolic acidosis: mainly oral sodium bicarbonate, if necessary, can be fed intravenously.
2. Prevention and treatment of sodium disorders: to prevent sodium retention, sodium intake should be appropriately limited, the guidelines recommend that sodium intake should not exceed 6-8g/d. For those who have obvious edema and hypertension, sodium intake should be limited to 2-3g/d, and for those who have severe cases, sodium intake can be limited to 1-2g/d, and furosemide and other diuretics can be used according to the needs.
3. Treatment of hypertension: general non-dialysis patients should control blood pressure below 130/80mmHg, and maintain dialysis patients’ blood pressure not more than 140/90mmHg. ACEI drugs such as captopril, ARB drugs such as valsartan, CCB drugs such as felodipine, etc. are more widely used.
4. Treatment of anemia: commonly used drugs include recombinant human erythropoietin.
Elderly uremic patients should go to the hospital in time, under the guidance of professional physicians. Drugs need to be used in accordance with medical advice, do not self-medication.