1. Blood System
(1) anemia is uremic patients must have symptoms. The degree of anemia and
uremia (kidney function) degree parallel, erythropoietin (epo) reduction as the
main reason.
(2) bleeding tendency may be manifested as skin, mucosal bleeding, and
increased platelet destruction, prolonged bleeding, etc., which may be caused by
toxins, dialysis correctable.
(3) abnormal white blood leukopenia, chemotaxis, phagocytosis and
bactericidal capacity weakened, prone to infection, post-dialysis can
improve.
2. hyperkalemia and hypokalemia
Oliguric renal potassium excretion is reduced. Organism increased catabolism,
metabolic acidosis, transfer to the extracellular K +, using retention
potassium-sparing diuretics or angiotensin converting enzyme inhibitors, can
cause severe hyperkalemia. Manifested as lethargy, severe arrhythmias, or even
cardiac arrest. If you eat less, potassium intake, nausea. Vomiting, diarrhea
and long-term application of potassium sparing diuretics. Prone to hypokalemia.
As fatigue, muscle weakness, abdominal distension, limb paralysis. In severe
cases of severe arrhythmias and respiratory muscle paralysis.
3. hyponatremia, chronic renal failure patients on sodium regulation is
poor.
Because renal tubular sodium absorption dysfunction, coupled with some other
factors, such as uniforms diuretics, diarrhea, long-term consumption of
salt-free diet. Prone to hyponatremia. Due to the loss of sodium and water,
causing hypovolemia. Loss of sodium leads to rapid deterioration of renal
function. Therefore hyponatremia often can a patient had stable disease uremic
symptoms appear. Patients often feel fatigue, weakness, dizziness, orthostatic
hypotension, muscle twitching, thready pulse and speed, severe shock may occur.
Conversely, if the sodium intake, the body will be retention, causing edema,
hypertension, severe heart failure can occur.
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