Chronic Kidney Disease: Management and Referral Guidelines

Chronic Kidney Disease Joel Reynolds, MD, FASN Chief, Nephrology Service

Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Defining Chronic Kidney Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stages of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],AM J Kidney Dis 39[Suppl 1]: S1-S266, 2002

Estimating GFR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measuring CrCl ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measuring CrCl ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measuring Proteinuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Defining Proteinuria ,[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object]

Epidemiology NHANES study (’88-’94) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object]

Work-Up of CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Risks of Progression to ESRD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Implications of ESRD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CKD Under-Diagnosed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

At Initiation of Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mortality in 5 yrs ,[object Object],[object Object],[object Object],[object Object]

CV Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CV Disease in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object]

CV Disease in CKD ,[object Object],[object Object],[object Object]

Anemia in CKD ,[object Object],[object Object],[object Object],[object Object]

Anemia in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epogen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertension in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HTN in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object]

HTN in CKD Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

HTN in CKD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hyperlipidemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Renal Osteodystrophy: ( aka Secondary Hyperparathyroidism) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Renal Osteodystrophy So What? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Monitoring PTH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treating hyperPTH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Phosphate binders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Phosphate binders ,[object Object],[object Object],[object Object],[object Object],[object Object]

Acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nutrition in CKD ,[object Object],[object Object],[object Object],[object Object]

Referral to Nephrologist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Preparation for Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Preparation for Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Preparation for Dialysis ,[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

Chronic Kidney Disease: Management and Referral Guidelines

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