Should nephrologists with high blood pressure eat “low sodium salt”? Maybe eat wrong

Many nephrologists unintentionally measured blood pressure and found that blood pressure increased. After further examination, they knew that they had kidney disease. Some were caused by high blood pressure, and some were caused by kidney disease. Hypertension and kidney disease are like a pair of “twin brothers”, often inseparable. When the kidney friends see this, they may have questions! Didn’t today’s topic talk about the “low sodium” diet? How did you say “kidney disease, high blood pressure”? This is because the low-sodium salt we buy in the supermarket is not just as simple as “low-sodium”, it is related to this. “Low sodium salt” is actually edible salt made by adding a certain amount of potassium chloride and magnesium sulfate on the basis of iodized table salt. It contains 60-70% sodium chloride and 20-30% chlorination. Potassium and 8-12% magnesium sulfate. From the point of view of the ingredients of low sodium salt, it can be seen that the “potassium” content is relatively high. This is also the focus of today’s discussion. The key to whether patients with hypertension eats the wrong “low sodium salt” lies in this. When patients with hypertensive renal damage or chronic kidney disease complicated by secondary hypertension have developed renal failure, there is often a risk of high potassium. The main function of our kidneys is to excrete metabolic waste in the body, maintain the body’s sodium, potassium, calcium and other electrolyte stability and acid-base balance. When the renal function has been impaired, the patient’s potassium excretion function will be impaired, which will easily cause hyperkalemia. Or there is a risk of hyperkalemia. If at this time increase the intake of “potassium” in the diet, hyperkalemia is more likely to occur. Serum potassium higher than 5.5mmol/L is called hyperkalemia, ≥7.0mmol/L is severe hyperkalemia. The acute occurrence is an emergency and should be rescued in time, otherwise it may cause serious consequences such as cardiac arrest. Patients with renal failure who are at risk of high blood pressure and high potassium should not only not eat low-sodium salts, but also cannot eat more fruits and vegetables with high potassium content, such as winter dates, bananas, apricots, coconuts, jackfruit, mushrooms and potatoes. Also cannot eat foods with high hidden salt content, such as various pickled products (salted fish and bacon), salted melon seeds, plum and sauces (such as bean paste and chili sauce). Patients with kidney disease whose blood pressure is too high or have been sick for a long time are more likely to develop renal failure and should be given a low-sodium diet. Patients with renal failure are prone to complicated with hyperkalemia that is at risk of cardiac arrest. Instead, they should not eat 20-30% Potassium chloride is a low-sodium salt, instead of ordinary table salt (iodized or uniodized table salt), reduce its consumption.

What should I do if I accidentally injured? How to deal with patients with vitiligo?

Trauma is also one of the common causes of vitiligo. This is because the skin damaged by trauma will place the body’s leukoplakia in a highly stressed state. If poor wound treatment is taken, nerve fibers will be damaged, causing the internal endocrine system of patients with vitiligo to become dysfunctional. As a result, the melanocytes in the body of patients with vitiligo are directly reduced and develop into vitiligo.   Clinically, there are many cases of leukoplakia caused by trauma. Trauma includes trauma, burn, scald, frostbite, corrosion injury, etc., so trauma cannot be underestimated. So what should be done after trauma?   1. After the skin is injured, it is difficult to avoid contamination of dust and bacteria on the surface of the wound and its vicinity. Use light salt water to clean it to remove the unclean material on the surface of the wound and the surrounding area. 2. Disinfect the wound around the wound with iodine and alcohol cotton balls. Wipe outward along the edge of the wound. Be careful not to apply iodine or alcohol into the wound, otherwise it will cause strong irritation and pain, which is also very harmful to leukoplakia. .  3. Finally, a little red potion can be applied to the wound. This medicine has antiseptic effect and is less irritating. 

What should I do if the topical medicine becomes allergic after skin burns?

#诊间故事#&nbsp. Fan question: female, 39 years old, hello, I was hot boiled last Sunday, and later disinfected in household alcohol, painted Jing Wanhong. I felt a strong alcohol allergy on Tuesday, it was red and itchy, and I had blisters when I was swollen. I went to the hospital on Tuesday night and the doctor used a dressing. I removed the bandage this Friday night. It is in the state of the picture. The blisters should not be up. The water in the finger joints is very itchy. What should I do now? &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.@爱问医生科普&nbsp. What should I do at home after a burn? ! You can watch my popular science video. It is recommended to come to the hospital for consultation after scald. Do not apply iodine at home. Not only iodine may be allergic. The key is that iodine does not treat scalds. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.@微博健康医疗&nbsp. What should I do if the medicine causes skin irritation after scald? It is recommended to come to the hospital for dermatology consultation. The doctor will choose the appropriate medication according to the severity of the scald. The picture can use a boric acid solution wet compress, topical anti-inflammatory and itching protective ointments, such as hydrocortisone butyrate and moist burns, etc., and can be taken orally Anti-allergic drugs, oral antibiotics are required if there is an infection. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.@爱问医生皮肤科&nbsp.&nbsp. Scald is accompanied by skin allergies. You need to see which symptom is more serious. You can also use the two types of drugs alternately when necessary. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. The principle of treatment is to promote the repair of scalds and the reduction of allergies. Prevent secondary bacterial infections etc. #名医服务月##妇幼健康咨询#