臨牀透析 Vol.29 No.6(3-2)


特集名 CKDステージG3以降の診療と看護・生活支援
題名 CKD薬物療法の実際 (2) 水電解質・酸塩基平衡・尿毒素の管理
発刊年月 2013年 06月
著者 石垣 さやか 磐田市立総合病院腎臓内科
著者 古谷 隆一 磐田市立総合病院腎臓内科
【 要旨 】 慢性腎臓病(CKD)では腎機能低下に伴い高カリウム血症,高リン血症,代謝性アシドーシス,尿毒素の蓄積が出現し,心血管病の発症やCKDの進展に関与する.このため早期からこれらを適切に管理することはCKD治療において重要である.有効な薬物療法が提唱されているが,治療薬による合併症もあり十分な注意が必要である.
Theme Medical treatment, nursing care, and life support for patients with advanced CKD stages
Title Pharmacotherapies for chronic kidney disease (CKD) : managements of electrolyte imbalances, acid-base disorders, and accumulation of uremic toxins
Author Sayaka Ishigaki Renal Division, Department of Internal Medicine, Iwata City Hospital
Author Ryuichi Furuya Renal Division, Department of Internal Medicine, Iwata City Hospital
[ Summary ] Various metabolic disorders, such as hyperkalemia, hyperphosphatemia, metabolic acidosis, and accumulation of uremic toxins, develop with the deterioration of renal function associated with chronic kidney disease (CKD). These disorders are closely related to the onset of cardiovascular disease and the progression of CKD. It is important to manage these problems appropriately from the early stages. In order to treat these problems, a number of effective pharmacotherapies have been proposed. It is also known that there are detrimental effects induced by these agents. We must recognize that particular disadvantages may be produced by these treatments.
戻る