Will is a 68-year-old male with a history of hypertension. Eight months ago, he started regular dialysis therapy for ESRD. Before that, his physician was closely monitoring his condition because he had polyuria and nocturia. Soon it became difficult to manage his hypertension. He also lost his appetite, became weak, easily fatigued, and had edema around his ankles. Will debated with his physician about starting dialysis, but she insisted, before the signs and symptoms of uremia increased, the treatment was absolutely necessary.

1.    What is the difference between azotemia and uremia?

2.    Two years ago, Will's physician told him to decrease his protein intake. In spite of what the physician ordered, Will could not stop having chicken, beef, pork, or eggs at least once a day. Why did his physician warn him about his diet?

3.    Will's feelings of weakness and fatigue are consistent with the symptoms of anemia. Why is he anemic?

4.    Knowing what you do about Will's history, why is left ventricular dysfunction a concern for his physician?

1) The difference is that Azotemia: is a medical condition characterized by abnormally high levels of nitrogen-containing compounds (such as urea, creatinine, various compounds from the body's wastes, and other nitrogen-rich compounds) in the blood.

While uremia or uremic syndrome is a set of biochemical and physiological changes that generally appear in people with stage 5 chronic kidney disease. It presents cerebral, respiratory, circulatory, digestive, hematological, immunological, endocrine and bone compromises.

2) Healthy eating helps keep blood sugar at a proper level. It is a fundamental part of diabetes control, since controlling blood sugar (glycemia) can prevent the complications of diabetes and, despite the fact that the patient is old, must be careful to eat as much fat as it alters Diabetes and the heart can also have complications. Consequences.

3) We must say that due to your disease, anemia is a type of condition that is due to a lack of healthy red blood cells. Red blood cells are responsible for transporting oxygen to the different organs and tissues of the human body that need it, therefore, its importance is vital for the proper functioning of our body.

Emphasizing that anemia is not easily detected, as its symptoms are not visible and we may not initially associate them with this problem. In this article we will explain the different types of anemia that exist, their cause, the symptoms that we can experience and how they can be related to diabetes.

4. The doctor is concerned that heart disease is a frequent cause of morbidity and mortality in the diabetic patient, with coronary artery disease being the most frequent cardiac complication of diabetes mellitus, which represents 50% of deaths in patients. diabetics And highlighting. The advanced age of the thousandth patient is more risky for their health.