eGFR              category      management            action
>90                renal disease, no impairment manage risk factors  
  • aspirin, bp, lipids, glucose
60-89              mild impairment make a diagnosis
  • dipstix, blood, protein
  • If pos, bp, lipids,glucose
  • And review
  • enter on register – stage 1 or 2
30-59            moderate failure     manage complications
  • appt with doctor
  • ? associated disease
  • assess rate of decline, ? refer ? scan
  • ? Urinary obstruction, bp, PVD
  • medication review eg penicillin  Cephalosporin, nsaid, ace, Mesalazine, ppi, diuretic
  • more bloods, calcium, phosphate, FBC, CRP
  • dipstix – blood and protein
  • protein/creatinine urine ratio ? refer
  • enter on register stage 3
15-29 advanced failure, progression inevitable prepare for end stage
  • refer, unless terminally ill or refusal
  • urgency to be determined
  • enter as stage 4
<15             end stage                 renal team              
  • refer as above
  • enter as stage 5

NB