- Periorbital edema
- Pericardial friction rub
- Acidosis (kidney can‘t excrete amonia, reabsorb bicarb, high phosphate)
- Engorged neck veins
- Pericarditis
- Pericardial effusion
- Pericardial tamponade
- Hyperkalemia
- Hyperlipidemia
Chronic renal failure affects almost all body systems
Hypertension occurs due to sodium and water retention and due to the activation of
renin- angiotesnin-aldosteron axis.
Decreased acid secretion results from the inability of the kidney tubules to excrete
ammonia (NH 3 - ) and to reabsorb sodium bicarbonate (HCO 3 - ). There is also decreased
excretion of phosphates and other organic acids.
Chronic renal failure/ S&S Neurologic
- Weakness and fatigue
- Confusion
- Inability to concentrate
- Disorientation
- Tremors
- Seizures
- Asterixis
- Restlessness of legs
- Burning of soles of feet
- Behavior changes
Chronic renal failure/ S&S Pulmonary Integumentary
- Crackles