When staging CKD there are two diagnostic tests that play an important role.
Obtain a blood sample and measure the GFR. Note the 6 GFR staging levels:
G1 = ≥ 90 mL / min / 1.73 m2
G2 = 60–89 mL / min / 1.73 m2
G3a = 45–59 mL / min / 1.73 m2
G3b = 30–44 mL / min / 1.73 m2
G4 = 15–29 mL / min / 1.73 m2
G5 = < 15 mL / min / 1.73 m2
Assess the urine for albuminuria using the urine albumin-to-creatinine ratio (ACR):
A1 = < 30 mg/g
A2 = 30–300 mg/g
A3 = > 300 mg/g
In addition, it is important to determine the cause of CKD since it could have important implications for prognosis and treatment.
Lower GFR and higher ACR are associated with three negative health outcomes. Are you familiar with what they are? Watch the video to find out!
Are you confident in managing conditions associated with chronic kidney disease (CKD) such as anemia, metabolic acidosis, and electrolyte abnormalities?
After attending this course, you will competently diagnose and stage CKD, manage complications, and prescribe medications to slow the progression of the disease.