Only opt for chronic dialysis after a decision-making process has been conducted jointly with patients, their families, and their family physicians.
Hemodialysis is a challenging treatment, not only for patients, but also for their families. Adult patients’ continuous absences from work, and pediatric patients’ absences from school are already an important factor limiting their normal life. For elderly patients,...
Do not perform computerized tomography (CT) for the diagnosis of renal stones. It is initially preferable to use ultrasound.
The presence of renal stones can be identified by a simple ultrasound test. Ultrasonography identifies calcium stones particularly well, but also reveals stones of other compositions, with the exception of certain particular types (e.g. cysteine stones). Sometimes...
Do not perform creatinine clearance tests in situations where it is impossible to ensure an accurate urine collection, or when it is not necessary to measure urinary creatinine excretion. In such cases, it is preferable to assess renal function by calculating the eGFR (the volume of the filtrate).
Clearance (or the volume of plasma from which a given substance – creatinine in the case in point – is completely removed per unit of time) is measured using a mathematical formula comprising four factors: blood creatinine concentration; urinary creatinine...
Don’t prescribe therapies with anti-inflammatory drugs (NSAIDs) without initial and periodical assessment in each patient of the actual clinical indications and of the side effects risk at that time.
NSAIDs are used primarily in chronic therapies, as analgesic drugs and are burdened with significant side effects, especially at gastrointestinal, renal and cardiovascular level. The available studies suggest caution by the physicians both at the moment of initial...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
Recent Comments