Chronic Kidney Disease
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Chronic Kidney Disease
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Definition CKD Stage 3 CKD Stage 3 eGFR 30-59 mls/min Initial investigations Dipstick urine and repeat biochemistry if no previous data. Send urine for Protein/Creatinine ratio if dipstick positive for protein Consider renal ultrasound if urological symptoms, or high risk of renal artery stenosis Consider diagnosis Monitoring Check eGFR, FBC and urine dipstick every 6 months (recheck after 2 weeks if first abnormal eGFR) Treatment Treat underlying condition Modify lifestyle Treat hypertension Assess and treat other complications Educate patient Referral guidelines Not all patients need referral Refer if diagnosis unclear Refer if significant proteinuria or underlying systemic disease If no proteinuria refer if progressive decline in eGFR >5% annually |