Renin Angiotensin System (RAS) blockers are renoprotective and often used in chronic kidney disease (CKD). RAS blockers include: Angiotensin Converting Enzyme (ACE) Inhibitors Angiotensin Receptor Blockers (ARB) These medications have proven benefits in proteinuric CKD Proteinuria: What is it and How I Treat | BCNephro , including microalbuminuria in patients with diabetic kidney
This article will provide a framework for evaluation of the patient with abnormal kidney function (elevated serum creatinine/ decreased estimated Glomerular Filtration Rate (eGFR). When evaluating a patient with Chronic Kidney Disease (CKD), I have the following considerations: Is there something bad? Is it chronic? What is the underlying cause? Is There Something
The main test to indicate kidney function is the serum creatinine. Why is this? First, what are we talking about when we talk about kidney function? We’re talking about how well the kidneys filter the blood. This is the glomerular filtration rate (GFR). Creatinine is a marker for kidney function because it is
ANCA associated Glomerulonephritis is the most common Rapidly Progressive Glomerulonephritis (RPGN) and it occurs in older patients. What is ANCA Associated Vasculitis? ANCA associated vasculitis is a small vessel vasculitis. It is an idiopathic autoimmune condition that manifests as necrotizing inflammation of small vessels with little/no immune complex deposition. As there is little
Talking to patients and families regarding initiation of dialysis can be complex. Typically shared decision making is recommended. This involves more than simply asking if the patient “wants” dialysis. There are two settings where this counseling is necessary. Each has different questions and concerns. The first is a patient with chronic kidney disease
