Symptoms and signs

• Deterioration renal function with:

— nephrotoxic antibiotics

— ACE inhibitors

• T blood pressure

• Urine abnormalities

Recommended action

Dietary manipulation Strict control BP Specialist referral

As above

Nocturia Mild malaise

Multiple see Fig. 27.1

• Multiple severe symptoms

• Impaired conscious state

• Cardiorespiratory dysfunction

• Adjust medication to control abnormal electrolytes

• Consider dialysis

• Probably dialysis

— renal bone disease

• Treatment for end stage renal failure

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