Page 1872 - Saunders Comprehensive Review For NCLEX-RN

collaborative care, ed 7, Philadelphia, 2013, Saunders.

Box 54-5

Key Features of Chronic Kidney Disease

Neurological Manifestations

▪ Asterixis
▪ Ataxia (alteration in gait)
▪ Inability to concentrate or decreased attention span

▪ Lethargy and daytime drowsiness
▪ Myoclonus
▪ Paresthesias
▪ Seizures
▪ Slurred speech
▪ Tremors, twitching, or jerky movements
▪ Coma

Cardiovascular Manifestations

▪ Hypertension
▪ Heart failure
▪ Peripheral edema

▪ Cardiomyopathy
▪ Pericardial effusion
▪ Pericardial friction rub
▪ Uremic pericarditis
▪ Cardiac tamponade

Respiratory Manifestations

▪ Crackles
▪ Deep sighing, yawning
▪ Depressed cough reflex
▪ Shortness of breath
▪ Tachypnea
▪ Kussmaul’s respirations

▪ Pleural effusion
▪ Pulmonary edema

1872