Document Detail

Discussion on advances in the treatment of uraemia.
MedLine Citation:
PMID:  18872157     Owner:  NLM     Status:  MEDLINE    
Uraemia is common, little is known of its actual nature and treatment has therefore been unsatisfactory. The kidney is not only an organ of excretion but guards the chemical and physical constitution of the extracellular fluids.In uraemia, urea and other products of metabolism including the toxic phenols accumulate. That the physical and chemical composition of the extracellular fluids, excluding protein, can be influenced by contact across a semi-permeable membrane is the basic concept of the treatment of uraemia by dialysis, whether by means of the artificial kidney or by peritoneal lavage.The principles of treatment of uraemia are: (1) To remove the cause. (2) Reduce the load on the kidney. (3) Assist or take over the function of the failing kidney in the hope that it may recover. (4) To relieve symptoms without thereby prejudicing recovery.Dialysis can be effected by peritoneal lavage or by conducting the circulating blood through a tube of semi-permeable membrane. The composition of the dialysing fluid is of the utmost importance the aim being to keep the physical and chemical balance of the extracellular fluid within the normal range and to encourage the diffusion of toxic metabolic products. The excessive use of parenteral fluids and diuretics in uraemia may be harmful. A number of cases of peritoneal dialysis are described.
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Proceedings of the Royal Society of Medicine     Volume:  41     ISSN:  0035-9157     ISO Abbreviation:  Proc. R. Soc. Med.     Publication Date:  1948 Jul 
Date Detail:
Created Date:  1948-12-01     Completed Date:  2008-10-16     Revised Date:  2010-06-22    
Medline Journal Info:
Nlm Unique ID:  7505890     Medline TA:  Proc R Soc Med     Country:  Not Available    
Other Details:
Languages:  eng     Pagination:  409-26     Citation Subset:  OM    
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MeSH Terms
Uremia / therapy*

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