New eGFR < 15
Generally all patients with newly discovered CKD stage 5 should be urgently discussed with the renal unit or renal consultant unless clinically inappropriate
Review patient soon looking for any obvious reason for low eGFR.
- acute illness
- bladder outflow obstruction
- medication review - any new drugs e.g. diuretics, NSAIDs, ACEIs / ARBs
- heart failure / sepsis
- repeat eGFR soon
- Send urine for ACR and MSU, and test for blood