Avoid the use of non-steroidal anti-inflammatory drugs (NSAIDs) in patients suffering from hypertension, cardiac insufficiency or chronic kidney disease – whatever their cause (including diabetes).
Numerous drugs can cause renal insufficiency, or facilitate its progression, so they should be used with particular caution. The so-called NSAIDs (non-steroidal anti-inflammatory drugs) are the most often used painkillers (e.g. nimesulide, ketoprofen, diclofenac,...
Do not administer erythropoiesis stimulating agents (ESA) to patients with chronic kidney disease (CKD) and spontaneous hemoglobin levels between 10 and 11 g/dL with no symptoms of anemization. The same applies to patients who have not been tested for blood ferritin levels and transferrin saturation, at least.
The target of 10-11 gr/dL of hemoglobin has been identified in patients with chronic kidney disease (CKD) as the hemoglobin level associated with a lower risk of complications, particularly for the cardiovascular system. It is also pointless to administer ESA without...
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...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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