CKD chronic disease review

Question 1

format of consultation and relevant parts to ask for each

Answer 1

intro- what is their understanding of this apt, how are they in general, how long have they had CKD for and have they had any issues or symptoms, when was their last review and what happened at that apt

general review- symptom screen, PMH, meds (and compliance), allergies, social history

what do we want out of this apt- do we need to make any changes (lifestyle, meds), when will we have next review

safety netting- sick day rules (what meds to stop), come back if they have any issues

Question 2

what symptoms do you screen for

Answer 2

fatigue and breathlessness
cramps, bone pain
poor appetite and weight loss
nausea and vomiting

Question 3

explaining management of CKD in patient language

Answer 3

there is no cure for CKD

kidneys can do what they need to do without functioning at 100%

we want to use certain medications and lifestyle modifications to prevent further deterioration of the kidneys where we can

some people get symptoms such as itch, fatigue etc as kidney function gets worse, its important we know about these and investigate and manage them

Question 4

what medications are routinely used in CKD

Answer 4

ACEis and ARBs can be used to protect the kidneys by reducing the pressure on them (these must be stopped when you aren’t well)

in some people, SGLT2 inhibitors are used to further protect the kidneys