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    Chronic Kidney Disease (CKD) Assessment Algorithm: Is Patient at Risk For CKD?

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    Sirsefti Anggi
    This document outlines an algorithm for identifying and referring patients at risk for chronic kidney disease (CKD). It involves assessing patients for CKD risk factors, evaluating kidney function through estimated GFR and urine tests, and referring patients to different levels of care depending on the severity of any abnormalities found. The goal is to detect CKD early and provide education to help preserve kidney function.

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    Chronic Kidney Disease (CKD) Assessment Algorithm: Is Patient at Risk For CKD?

    Uploaded by

    Sirsefti Anggi
    268 views1 page
    This document outlines an algorithm for identifying and referring patients at risk for chronic kidney disease (CKD). It involves assessing patients for CKD risk factors, evaluating kidney function through estimated GFR and urine tests, and referring patients to different levels of care depending on the severity of any abnormalities found. The goal is to detect CKD early and provide education to help preserve kidney function.

    Original Description:

    farmakoterapi ginjal

    Original Title

    ALGORITMA GINJAL

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    This document outlines an algorithm for identifying and referring patients at risk for chronic kidney disease (CKD). It involves assessing patients for CKD risk factors, evaluating kidney function through estimated GFR and urine tests, and referring patients to different levels of care depending on the severity of any abnormalities found. The goal is to detect CKD early and provide education to help preserve kidney function.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    268 views1 page

    Chronic Kidney Disease (CKD) Assessment Algorithm: Is Patient at Risk For CKD?

    Uploaded by

    Sirsefti Anggi
    This document outlines an algorithm for identifying and referring patients at risk for chronic kidney disease (CKD). It involves assessing patients for CKD risk factors, evaluating kidney function through estimated GFR and urine tests, and referring patients to different levels of care depending on the severity of any abnormalities found. The goal is to detect CKD early and provide education to help preserve kidney function.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Chronic Kidney Disease (CKD)

    Assessment Algorithm
    Identification and Referral

    Emergency
    Room
    Visit

    Is patient at risk for CKD?


    Age > 60 years Exposure to drugs/contrast Systemic infections Family history of CKD
    High blood pressure Urinary tract infection Drug toxicity Autoimmune diseases
    Urinary stones Lower urinary tract obstruction Diabetes Hx acute renal failure

    Yes

    Evaluate patients at increased risk for CKD


    Consider:
    -Serum creatinine to determine estimated eGFR
    -Assessment of proteinuria
    -Urinalysis for presence of white & red blood cells

    Does patient have abnormal eGFR?


    http://www.kidney.org/professionals/kdoqi/gfr_calculator.cfm

    Yes

    Is eGFR 45 60? Is eGFR < 45?

    Refer patient to primary


    Refer patient to
    care physician or internist
    nephrologist for follow-up
    for follow-up

    Provide Patient Education on Preserving Kidney Function


    Avoid all NSAIDS
    Avoid Milk of Magnesia
    Avoid oral & enema sodium phosphate products
    Avoid needle punctures and blood pressures in non-dominant arm
    Avoid subclavian central lines
    Avoid gladolinium-based contrast if eGFR < 30 or acute kidney injury
    CAUTIOUS USE OF IV/MRI CONTRAST DYECONSULT NEPHROLOGY

    The Kidney Disease Outcomes Quality Initiative (KDOQI)


    Prepared by the Renal Network of the Upper Midwest, Inc.
    recommendations for Chronic Kidney Disease: Evaluation,
    Please call 1-800-973-3773 for questions or reprint
    Classification, and Stratification were used to develop
    requests.
    portions of this document.

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