uremia
u·re·mi·a
also u·rae·mi·a U0141300 (yo͝o-rē′mē-ə)uremia
(jʊˈriːmɪə)u•re•mi•a
(yʊˈri mi ə)n.
uremia, uraemia
uremia
Noun | 1. | ![]() |
单词 | uremia | |||
释义 | uremiau·re·mi·aalso u·rae·mi·a U0141300 (yo͝o-rē′mē-ə)uremia(jʊˈriːmɪə)u•re•mi•a(yʊˈri mi ə)n. uremia, uraemiauremia
uremiauremia(yo͝orē`mēə), condition resulting from advanced stages of kidney failure in which urea and other nitrogen-containing wastes are found in the blood. Uremia can be caused by NSAIDs (nonsteroid anti-inflammatory drugs), especially in older patients treated primarily with ibuprofenibuprofen, nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, fever, and inflammation. Along with naproxen and ketoprofen, ibuprofen belongs to the propionic acid class of NSAIDs. It was first made available in 1967. ..... Click the link for more information. for arthritis. Some of the early signs of uremia are lethargy, mental depression, loss of appetite, and edema; later symptoms include diarrhea, anemia, convulsions, coma, and a gray-brown coloration. Treatment of uremia, which is directed at the underlying kidney disease, is usually with dialysis and renal transplantation. Treatments with genetically engineered erythropoietin decrease the complication of anemia. See nephritisnephritis , inflammation of the kidney. The earliest finding is within the renal capillaries (glomeruli); interstitial edema is typically followed by interstitial infiltration of lymphocytes, plasma cells, eosinophils, and a small number of polymorphonuclear leukocytes. ..... Click the link for more information. ; nephrosisnephrosis , kidney disease characterized by lesions of the epithelial lining of the renal tubules, resulting in marked disturbance in the filtration function and the consequent appearance of large amounts of protein (albumin) in the urine (see urinary system). ..... Click the link for more information. . Uremiaa toxic condition caused by severe impairment of renal function. It may be acute or chronic. Acute uremia occurs in acute renal insufficiency during oliguria and is marked by severe impairment as well as by systemic disorders. The concentration of creatinine, urea, indican, ammonia, and other nitrogenous compounds increases markedly in the blood, resulting in azotemia. The content of such electrolytes as potassium, magnesium, calcium, and chlorine becomes altered, the acid-base balance is disturbed, resulting in acidosis, and water is retained in the body. Cardiovascular changes are manifested by tachycardia, arrhythmia, and hypertension. Other symtoms include anemia, digestive disorders, neurological disturbances, and often pulmonary edema. Acute uremia persists for five to ten days and sometimes up to 30 days or longer. The majority of persons affected with the disease return to work in three to 12 months. Chronic uremia (terminal uremia, or terminal chronic renal insufficiency) is caused by many chronic kidney diseases. Affected persons experience lassitude, become emotionally unstable, and exhibit various types of neuromuscular phenomena. Hearing is impaired and the skin becomes pale yellow in color and is dry, flaccid, and painfully itchy. Other common symptoms are loss of appetite, nausea, vomiting, thirst, convulsions, polyneuritis, and nasal, cutaneous, or intestinal hemorrhages. The process of change in the electrolytes intensifies, and azotemia and acidosis become more marked. The bones decalcify and the joints are affected. Blood pressure rises sharply and pericarditis develops. The specific gravity of the urine remains low. The treatment of uremia is conservative; methods used include cleansing of the blood by means of an artifical kidney or by peritoneal dialysis. A kidney transplant may be indicated. REFERENCEOsnovy nefrologii, vol. 1. Edited by E. M. Tareev. Moscow, 1972. Pages 164–234.N. R. PALEEV uremia[yə′rē·mē·ə]uremiauremia[u-re´me-ah]Potassium restriction may also be indicated because of inability of the kidney to excrete it. This complicates the problem, however, because foods rich in potassium also are high-quality protein foods. These same foods also contain phosphorus, which may be restricted. A sodium-free diet usually is prescribed, but this can pose problems in regard to food selection and patient compliance. Patients in the terminal stage of uremia will require special mouth care; measures to prevent pressure ulcers; protection from injury due to altered consciousness" >levels of consciousness; monitoring and protection from deleterious effects of excessive bleeding related to lack of renal hormone erythropoietin and bone marrow depression; and interventions appropriate to psychological and emotional support for the patient and family members during a terminal illness. ![]() u·re·mi·a(yū-rē'mē-ă),uremiaalsouraemia(yo͝o-rē′mē-ə)uremiaPrerenal azotemia, renal underperfusion Nephrology A constellation of Sx caused by the retention of urea and other products of protein catabolism due to inadequate kidney function in advanced renal failure Clinical N&V, pruritus, uremic frost, mental clouding, peripheral neuropathies, osteodystrophy, HTN, CHF, pericarditis, pulmonary edema Lab Acidosis, anemia, azotemia, ↓ Ca2+, ↑ PO4, coagulopathy Pathogenesis 1º glomerular and/or tubular disease Management General support–restriction of protein, Na+, K+, and water; dialysis–hemodialysis, peritoneal dialysis; kidney transplantUremiau·re·mi·a(yūr-ē'mē-ă)Synonym(s): uraemia. uremia
Synonyms for uremia
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