2014年7月24日星期四

What checks do when suspected uremia

What checks do when suspected uremia
Uremia serious harm to health and even life-threatening. Given the seriousness of the disease, early discovery to early treatment. How can we do this? In fact, there are some signs of suffering from uremia give warning, just enough attention to their physical health, then find disease risk is very easy. Then do the inspection, the disease can be diagnosed. Specifically what to do when suspected uremic check it? Here we introduce specific.
1, blood tests: (1) patients with uremia urea nitrogen, creatinine increased; (2) hemoglobin generally 80g / L or less, end-stage can be reduced to 20-30g / L, platelets or white blood cells may be associated with higher; (3) arterial blood gases, pH measurement; often late PH value decreased, AB, SB and bE were lower, PaCO2 was reduced compensatory; (4) may be normal or decreased plasma protein; (5) electrolyte measurement may appear exception.
2, urine tests: The most common screening method uremia. (1) changes in urine may be due to different underlying cause vary, may have proteinuria, red, white blood cells or casts, you can also change the obvious; (2) specific gravity more than 1.018 or less fixed at 1.010 uremia between ~ 1.012, urine at night than during the day urine.
3, renal function test: (1) glomerular filtration rate, creatinine clearance decreased; (2) phenol red excretion test and urine tests were concentrated diluted loss; (3) for determination of abnormal water clear; (4 ) radionuclide renography and renal scintigraphy scan and also helps to understand kidney function.

4 Other uremia check: urinary tract X-ray or contrast, renal biopsy, to help diagnose the cause. According to a history of chronic kidney diagnosis, clinical manifestations related to urine, blood biochemical tests, can be confirmed.

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