Neurological Manifestations of Uremic Encephalopathy Follow-up

Updated: Sep 17, 2018
  • Author: Gabriel Bucurescu, MD, MS; Chief Editor: Jasvinder Chawla, MD, MBA  more...
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Follow-up

Further Outpatient Care

Hemodialysis is needed on a regular basis.

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Further Inpatient Care

Patients need close follow-up in the acute stage of uremic encephalopathy. After the underlying problem is treated properly, the symptoms should resolve.

Levels of anticonvulsant drugs must be closely monitored to prevent toxicity.

In cases of intracranial hemorrhage, serial head neuroimaging may be necessary.

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Transfer

Transfer to a facility with staff and equipment for further evaluation and care may be necessary.

As always, trained personnel with appropriate monitoring should perform the transfer.

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Complications

If untreated, uremic encephalopathy leads to coma and death.

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Prognosis

The prognosis is generally favorable if treatment is successful.

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Patient Education

To ensure that treatment is initiated early, instruct patients and their family members and caregivers about the need for prompt medical evaluation when mental status changes occur.

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