RT Book, Section
A1 Wagener, Gebhard
A2 Atchabahian, Arthur
A2 Gupta, Ruchir
SR Print(0)
ID 57260632
T1 Chapter 27. Chronic Renal Failure
T2 The Anesthesia Guide
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176049-2
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57260632
RD 2024/04/20
AB Table  Graphic  Jump  Location|Download  (.pdf)|PrintOrgan  Systems  Involved  in  Renal  FailureNeuroUremic  encephalopathyDepends  on  rate  of  rise  of  BUN,  not  absolute  valuePeripheral  and  autonomic  neuropathyCardiacUremic  pericarditis  (rare)HypertensionLeft  ventricular  hypertrophy  and  congestive  heart  failure  (CHF)RespiratoryVolume  overload  and  pulmonary  edemaGastrointestinalDelayed  gastric  emptyingRenalAcidosis:  Non-anion  gap  acidosis  with  renal  bicarbonate  loss  and  hyperchloremiaAnion  gap  acidosis  due  to  hyperphosphatemiaHyperkalemia:  Worsened  by  acute  acidosis  (pH  ⇓  by  0.1  causes  K+  ⇑  by  0.5  mEq/L)HematologyNormocytic,  normochromic  anemiaUremic  platelet  dysfunction  and  coagulopathy:  Impaired  von  Willebrand  factor  (vWF)  release  from  endothelium  ⇒  impaired  platelet  activationCan  be  treated  with  desmopressin  (0.3  μg/kg)  that  releases  endogenous  vWFIDImmunosuppression  due  to  myelodepressionCatheter-related  infectionsPeritonitis  with  peritoneal  dialysisOthersVascular  accessTunneled  dialysis  catheterDouble-lumen  central  venous  catheters  (Vas  Cath)Arteriovenous  (AV)  fistula  and  shunts