Chronic Kidney Disease

 

Guidelines for Preservation of Kidney Function
(Mayo Clinic Proceedings Sept 2008;83(9):1064-1069)

  • Control Hypertension
        Target BP <130/80 mm Hg or <125/75 mm Hg if >1g/dL/1.73m2 of protein

  • Control Diabetes

  • Control Lipids
        Target LDL-C is <100mg/dL

  • Use Antiproteinuric antihypertensive agents
        ACE inhibitor, ARB, Aldosterone inhibitor, Diltiazem

  • Avoid NSAIDS

  • Recommended Dietary Modifications
        Low-fat, low-salt AHA diet
        Restrict calories if diabetic

  • Avoid Radiocontrast Agents, premedicate if required

  • Adjust all meds for renal function

  • See Nephrologist Q6-12 months if needed

 

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