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

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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Sirsefti Anggi
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415 views1 page

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

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.

Uploaded by

Sirsefti Anggi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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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