2016年2月27日星期六

Attentions for the Old Patients When Taking Medicine

The old can develop some disease as their ages grows. For the old patients with kidney disease before taking medicine they should consider some factors such as the changes of organism with years and the renal endurance of medicine. Then, for the old patients with kidney disease how can they properly take medicine?

Attentions for the old patients when taking medicine:First, before taking medicine, they should understand the side effects of medicine which may be renal toxicity such as antibiotic including neomycin,gentamicin, amikacin,tobramycin,streptomycin,cephalosporin,polymyxin,vancomycin,and anphotericin. Consequently patients with kidney disease should be cautious in taking medicine which has renal toxicity. If necessary when taking medicine they must adjust the dose.

Attentions for the old patients when taking medicine:Second, some medicine can be no renal toxicity but patients may be allergy to them, which can also cause kidney damage. For example, new penicillin can lead to acute allergic interstitial nephritis representing fever, rash, acidophilleukocyte increasing,oliguria and decreased renal function, which should be cautiously used.

Attentions for the old patients when taking medicine: Three, paying attention to the intake dosage of medicine. With organism growing older as years, the functions of various organs and systems of the old can obviously decline. Therefore, with a poor gastrointestinal function, symptoms of this system can occur after taking medicine. Besides, the declined activity of catabolic enzyme in liver results in its declining capacity in metabolizing medicine. The old has a less advantage of renal function compared with the young, once they develop kidney disease the capacity of expelling medicine waste of kidney can decline and finally it may lead to the accumulation of waste in medicine. As a result, the old patients with kidney disease when they take medicine should adjust the dosage and start from small one. Apart from that, some medicine such as doxycycline is taken orally and will be mainly discharged from body with excrement, which need not adjust the dosage because they can not lead to medicine accumulation in body. Sulphonamide can easily crystallize in urinary tract and cause urinary tract obstruction, which leads to renal function to turn worse.


All the above are the introduction about attentions when old patients with kidney disease take medicine. Oral drug have a great side effect to the old, while the external application of Traditional Chinese Medicine can avoid this and its external application can make active ingredients directly permeate into the lesion, which is both effective and convenient.

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