INSTRUCTIONS TO CKD PATIENTS

  • Not to take kidney harmful medicines, nephrotoxic, common painkillers like diclofenac, brufen, 
  • Not to use a non dominant arm (usually left arm) for blood testing, intravenous injections.
  • Can give intramuscular or subcutaneous injections and can check sugar checking on any arm.
  • Not to take special salt. Take only normal salt like original tata salt.
  • Maintain a proper vaccination schedule with dates.
  • Can do physical activities. 
  • Do regular follow up with your nephrologist.
  • Maintain your blood pressure and sugar charting
  • Do sugar before meals and BP charting thrice daily at home if unstable
  • Target BP < 135/85 mmHg
  • Target pre meal sugar < 150, 2 hours post meals < 240
  • For diet, avoid non vegetarian food and fruits (can take apple, papaya, guava), dry fruits, juice, coconut water, soups, squash. For further detail consult a dietitian.
  • Take normal salt (No special salt, like sendha, tata lite, pink salt, etc)
  • Only apple, papaya, guava can be taken, and avoid all other fruits.
  • No dry fruits, juices, coconut water
  • No non vegetarian foods (eggs, fish are allowed)
  • No intravenous prick, blood testing on left arm
  • No smoking, or any form of tobacco use
  • Life Style Modification like regular physical exercises, maintaining healthy body weight ( 20-25 kg/m), Yoga, meditation avoid undue stress & Stop smoking
  • Do not take indigenous medicine 
  • Avoid pain killers.
  • In case of Fever or Pain one can take paracetamol or tramadol.
  • Maintain Blood pressure Below 130/80 ml of Hg
  • Diabetic Kidney patients are at risk of developing low sugar maintain HBA1C 

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