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Chronic Kidney Disease (CKD) Algorithm

Chronic Kidney Disease (CKD) Algorithm | Page 1 Chronic Kidney Disease (CKD) AlgorithmChronic Kidney Disease (CKD) Algorithm | Page 1 Who should have their Kidney function checked? Diabetes (See local Diabetes pathway) Hypertension Cardiovascular Disease (ischaemic heart Disease , Chronic heart failure, peripheral vascular and cerebrovascular Disease ) Structural renal tract Disease , renal calculi or prostatic hypertrophy Multisystem diseases with potential Kidney involvement systemic lupus erythematosus Family history of Kidney Disease Opportunistic detection of haematuria or proteinuria People prescribed nephrotoxic drugs such as calcineurin inhibitors (Ciclosporin, Tacrolimus)

Lithium and long term systemic NSAIDs If none of the above do not use age gender or ethnicity as risk markers. ... Box 8 - Haematuria (see Joint Consensus Statement3) • Use reagent strips • Evaluate further if there is a result of 1+ or more ... Guidelines (Green Book)4 • Hepatitis B vaccination if there is a

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Paediatric Early Warning Scoring Tool (PEWS)

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ON WARNING SYMPTOMS and how further healthcare can be accessed. Arrange for a further follow-up at a specified time and place Consider HOT CLINIC . 1. GP to phone 01254 263555 and ask to speak to. paediatric HOT consultant for advice . 2. Outside 12:30 to 14:30 ask to speak to On-call registrar or first on call consultant . 3.

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request. There is no need for 24 hour urine collections. 4) Reduced kidney function is defined as GFR <60ml/min or 60-90 ml/min in patients with other evidence of kidney disease. A system for staging is provided. 5) GFR > 60 ml/min is considered normal unless there is a second reason to suspect renal disease.

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