Tuesday, September 20, 2005

N4 Renal Failure's Effects on the Body

Cardiovascular:
1. Cardiomyopathy
2. Hypertension
3. Peripheral edema
4. Congestive heart failure
5. Uremic pericarditis
6. Pericardial effusion
7. Pericardial friction rub
8. Cardiac tamponade

Neurologic:
1. Lethargy & daytime drowsiness
2. Inabililty to concentrate or decreased attention span
3. Seizures
4. Coma
5. Slurred speech
6. Asterixis
7. Tremors, twitching, or jerky movements
8. Myoclonus
9. Ataxia (alteration in gait)
10. Parathesis

Urinary:
1. Polyuria, nocturia (early)
2. Oliguria, anuria (later)
3. Protienuria
4. Hematuria
5. Diluted, straw like appearance

Respiratory:
1. Uremic halitosis
2. Tachypnea
3. Deep sighing, yawning
4. Kussmaul respirations
5. Uremic pneumonitis
6. Shortness of breath
7. Pulmonary edema
8. Pleural effusion
9. Depressed cough reflex
10. Crackles

Gastrointestinal:
1. Anorexia
2. Nausea & Vomitting
3. Metallic tastes in the mouth
4. Changes in taste acuity and sensation
5. Uremic colitis (diarrhea)
6. Constipation
7. Uremic gastritis (poss GI bleed)
8. Uremic fetor
9. Stomatitis
10. Diarrhea

Integumentary:
1. Decreased skin turgor
2. Yellow-gray pallor
3. Dry skin
4. Pruitius
5. Ecchymosis
6. Purpura
7. Soft-tissue calcifications
8. Uremic frost (late, premobid)

Musculoskeletal:
1. Muscle weakness
2. Bone pain
3. Pathologic fractures
4. Renal osteodystrophy

Hematological:
1. Anemia
2. Abnormal bleeding and bruising

Reproductive:
1. Decreased fertility
2. Infrequent of absent menses
3. Decreased libido
4. Impotence

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