Ckd
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Algorithm for management of CKD eGFR reported
eGFR > 30
No dipstick proteinuria
PCR* < 45
No dipstick haematuria
eGFR 15 – 29 CKD 4
Dipstick proteinuria
PCR* ≥ 100
PCR* 45 -100
Macro or dipstick haematuria, in pt > 50yrs
Refer to urology
No further action
Urgent nephrology referral
Discuss with or refer to nephrologist
Dipstick haematuria in pt < 50 yrs
No dipstick haematuria
eGFR > 60 eGFR > 60
eGFR < 15 CKD 5
Dipstick haematuria
eGFR 30 - 60
eGFR 30 - 60
CKD management in primary care
* PCR = Protein:creatinine ratio (mg/mmol) – spot urine 10ml in plain container Sheffield Kidney Institute 2006
eGFR > 30
No dipstick proteinuria
PCR* < 45
No dipstick haematuria
eGFR 15 – 29 CKD 4
Dipstick proteinuria
PCR* ≥ 100
PCR* 45 -100
Macro or dipstick haematuria, in pt > 50yrs
Refer to urology
No further action
Urgent nephrology referral
Discuss with or refer to nephrologist
Dipstick haematuria in pt < 50 yrs
No dipstick haematuria
eGFR > 60 eGFR > 60
eGFR < 15 CKD 5
Dipstick haematuria
eGFR 30 - 60
eGFR 30 - 60
CKD management in primary care
* PCR = Protein:creatinine ratio (mg/mmol) – spot urine 10ml in plain container Sheffield Kidney Institute 2006
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