CGA Staging (Cause, GFR Stage, Albuminuria Stage):- Definition
- Evaluation of CKD
- Note: GFR does decrease with age.
- Management:
- 5 interventions to slow CKD
- 3 complications of CKD
- Anemia: Goal: 10-11.5:
- CKD: BMD : Ca 2+, PO4 3-, PTH, ALP, 25-OH Vit D (G3b - G5 for baseline; not routinely) (see reference Page 11 of KDIGO 2012)
- CVD: Smoking Cessation, weight loss, exercise, HTN, HLD, CAD
- Whom to screen
- Long standing DM, or HTN
- Prior AKI
- Lupus, MM
- Chronic Viral Infection (HBV, HCV, HIV)
- Cancer especially if they have been on Platin or localized XRT
- Chronic NSAIDs use
- Whom to Refer:
- Medications of be careful in CKD
- Phosphate Binders
- Methods of assessing Kidney Function
Reference:
Management of various stages of CKD Genetic Diseases leading to CKD
Loop Diuretics: Are heavily protein bound. So, it may not be that effective in patient with Nephrotic Syndrome Atorvastatin is the only statin that has been shown to reduce proteinuria. Clonidine: Centrally acting medication with short half life and lots of side effects
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