Uremic Encephalopathy Follow-up
- Author: James W Lohr, MD; Chief Editor: Vecihi Batuman, MD, FACP, FASN more...
Further Inpatient Care
- Admit patients for dialysis and further workup.
Further Outpatient Care
- Schedule maintenance hemodialysis for patients who have ESRD.
- Carefully monitor mental status.
Inpatient & Outpatient Medications
- Administer medications (eg, iron, erythropoietin, phosphate binders, vitamin D analogues) for patients with ESRD to optimize their quality of life.
- Avoid sedatives.
Transfer
- Patients may require transfer to a facility that can provide emergent hemodialysis.
Deterrence/Prevention
- Refer patients with chronic kidney disease to a nephrologist for regular monitoring of CrCl so that dialysis may be initiated before encephalopathy develops.
Complications
- Seizures
- Coma
- Death
Prognosis
- With prompt dialytic therapy, the mortality rate is low.
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