Initially, kidney failure does not appear specific symptoms, the most common
is the index of abnormal creatinine and proteinuria.
• Blood pressure is increased because of fluid overload, vascular hormones
created by the kidney, and the renin-angiotensine.Cela system will increase the
risk of a patient with renal failure and hypertension.
• The potassiumes accumulate in the blood (most common is hyperkalemia),
hyperkalemia does dévelolppe generally not until the rate of glomerular
filitration falls below 20 to 25 mL / min / 1.732 in this cases, the kidneys
will decrease the ability to excrete potassiums. Furthermore, hyperkaliéme CKD
may be exacerbated by acidosis (which conduct extracellular potassium change)
and the lack of insulin.
• synthesis of erythropoietin is reduced.
• Hyperphosphatemia: due to the reduction of phosphate excretion, following
the reduction of glomerular filtration. Hyperphosphatemia is associated with
cardiovascular risk, as a direct stimulus to vascular calcification.
• The volume of fluid overload: the symptoms can range from mild to
life-threatening edema and pulmonary edema.
• Urea accumulates: leading to azotemia and uremia eventually (symptoms
ranging from lethargy to pericarditis).
• metabolic acidosis due to the accumulation of sulfates, phosphates, uric
acid, etc.
• Iron deficiency anemia which increases after renal function decreases and a
patient who hemodialysis. Other causes teles c: increased inflammation,
reduction of erythropoietin.
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