8: Stages of Kidney Disease Flashcards
What stage of kidney disease (1-5)?
GFR <15 or nonexistent
Stage 5
Is this done in all patients, GFR 45-60, or GFR 30-44?
Assure vitamin D sufficiency
GFR 45-60
Is this done in all patients, GFR 45-60, or GFR 30-44?
Referral to Nephrology if possibility for nondiabetic kidney disease exists
GFR 45-60
Is this done in all patients, GFR 45-60, or GFR 30-44?
Referral for dietary counseling
GFR 45-60
What stage of kidney disease (1-5)?
GFR 30-59
Stage 3
What stage of kidney disease (1-5)?
Treatment is to prepare for kidney replacement therapy.
Stage 4
What stage of kidney disease (1-5)?
Kidney damage with mildly reduced kidney function.
Stage 2
Is this done in all patients, GFR 45-60, or GFR 30-44?
Monitor electrolytes, bicarb, Hgb, Ca+, phosphorus, PTH annually
GFR 45-60
What stage of kidney disease (1-5)?
GFR 90+
Stage 1
What stage of kidney disease (1-5)?
Severe kidney damage with decreased GFR.
Stage 4
Is this done in all patients, GFR 45-60, or GFR 30-44?
Monitor eGFR every 3 months
GFR 30-44
What stage of kidney disease (1-5)?
Treatment is to observe and control BP and risk factors.
Stage 2
Is this done in all patients, GFR 45-60, or GFR 30-44?
Monitor eGFR every 6 months
GFR 45-60
What stage of kidney disease (1-5)?
GFR 60-89
Stage 2
What stage of kidney disease (1-5)?
Treatment is to evaluate and treat complications.
Stage 3
Is this done in all patients, GFR 45-60, or GFR 30-44?
Consider bone density testing
GFR 45-60
What stage of kidney disease (1-5)?
Moderate kidney damage with decreased GFR.
Stage 3
What stage of kidney disease (1-5)?
Kidney damage with normal kidney function.
Stage 1
What stage of kidney disease (1-5)?
Treatment is kidney replacement.
Stage 5
What stage of kidney disease (1-5)?
GFR 15-29
Stage 4
Is this done in all patients, GFR 45-60, or GFR 30-44?
Referral to nephrologist
GFR 30-44
What stage of kidney disease (1-5)?
Treatment is to observe, control BP, and reduce risks.
Stage 1
Is this done in all patients, GFR 45-60, or GFR 30-44?
Consider need for dose adjustment of medications
- GFR 45-60
- GFR 30-44
What stage of kidney disease (1-5)?
Kidney failure.
Stage 5
Is this done in all patients, GFR 45-60, or GFR 30-44?
Monitor electrolytes, bicarb, Ca+, phosphorus, PTH, Hgb, albumin, weight every 3–6 months
GFR 30-44
Is this done in all patients, GFR 45-60, or GFR 30-44?
Annual measurement of CR, urinary albumin excretion, K+
All patients