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Definition CKD Stage 5 CKD Stage 5 eGFR <15 mls/min or on renal replacement therapy Initial investigations Dipstick urine Repeat biochemistry within 48 hours if new result and no referral made Monitoring Normally carried out via secondary care Treatment Treat underlying condition Modify lifestyle Treat hypertension Assess and treat other complications Educate patient Referral guidelines Urgent referral to nephrology service unless clinically inappropriate
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