Chronic kidney disease is defined as either kidney damage or GFR of less than 60 for longer than 3 months. Author: Healthwise Staff. Medical Review: Anne C. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use.
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COVID patients can become kidney patients. You can provide lifesaving support today with a special monthly gift. Donate Now. Management and further investigation of reduced GFR If you are found to have a decreased GFR level, the doctor may ask you some more questions, perform a clinical examination and certain investigations to work out the underlying cause of your abnormal result.
Have there been any causes of insults to the kidneys? For example: have you been taking any new medications anti-inflammatories , diuretics or fluid tablets, antibiotics , have you had any procedures that involve administering contrast and dyes such as angiograms , CT , have you been sick or dehydrated and vomiting? If the kidneys are not functioning optimally, there may be some complications that can occur. Your doctor may choose to carry out some further investigations: Blood tests may be taken to see what your haemoglobin levels and white cell counts are, to monitor the balance of your electrolytes and waste products the kidney normally excretes.
Urine samples are obtained, that are tested with a dipstick and also analysed to see if there is any protein or other abnormalities present. Imaging of the kidneys through procedures such as an ultrasound test. This can provide an idea of the size of the kidneys, how your urinary tract looks and whether there is any obstruction present.
Some drugs depend on the kidneys to be excreted from the body. These medications should all be monitored closely and adjusted as necessary. Medications that are known to be toxic to the kidney should be avoided.
Lifestyle factors that contribute to your risk of disease of the heart and major blood vessels should be identified and optimised. These include: quitting smoking , adhering to a healthy diet low in fats and salts, limiting alcohol consumption and regular exercise. You should have your blood pressure checked regularly by your local GP. Your local doctor may start some blood pressure medications that can be beneficial to your kidneys.
What is the evidence behind reporting of the eGFR? Detection of chronic kidney disease withlaboratory reporting of estimated glomerular filtration rate and an educationalprogram. Arch Intern Med ; — Chronic kidney disease and automatic reporting of estimated glomerular filtration rate: a position statement, MJA ; 3 : Haematology , Renal.
Medical Information. Current Competitions. Your doctor will figure out your eGFR using your creatinine blood test result and your age, sex, weight and race. A normal eGFR is 60 or more. If your eGFR is less than 60 for three months or more, your kidneys may not be working well. Use this chart to see what your eGFR may mean. No matter what your eGFR is, ask your doctor when you should be tested again and what other tests you should have.
Your doctor may want to do other tests to look for signs of kidney problems, such as:. Donate Now.
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