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