Management of Stage 3 CKD eGFR 30 - 59
Some of these patients may be under long-term renal outpatient follow up and the guidelines apply to both primary and secondary care. Routine follow up options would include blood test for Renal profile and FBC every 6 to 12 months
Routine management for Stage 2 CKD
The major areas of importance are:
- eGFR change - check eGFR every 6-12 months if falls by > 5ml/yr or any unexplained fall then routine referral
- blood pressure control
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At least annual check of Hb in stage 3B CKD - if <11 g/dl EPO may be indicated - check haematinics and if normal consider referral
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| If BP goals not achieved then consider routine referral |
| Any new lower urinary tract symptoms consider renal tract ultrasound |
| Abnormalities of calcium or phosphate metabolism consider referral |
| Routine immunisation against influenza and pneumococcus |
| Regular medication review to avoid nephrotoxic drugs if possible |
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If in doubt then consider e-Advice
Download Management Guidelines CKD Stage 3
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