Clinical QuickieRenal/Electrolytes
CKD Management
CKD management is risk reduction, not just watching creatinine.
Stage with eGFR + albuminuria
GFR category and urine albumin-to-creatinine ratio together define risk better than either alone.
Protect the kidney and the cardiovascular system
BP control, RAAS blockade when indicated, diabetes therapies with kidney benefit when appropriate, and avoidance of nephrotoxins are central.
Dose medications to kidney function
Renal clearance changes drug exposure. Review dosing and contraindications as kidney function changes.
Watch complications and trajectory
Potassium, bicarbonate, anemia, mineral/bone parameters, volume status, and rate of eGFR decline guide monitoring and referral.
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