Chronic Kidney Disease (CKD) Algorithm - NHS Cumbria
Chronic Kidney Disease (CKD) Algorithm - NHS Cumbria
Chronic Kidney Disease (CKD) Algorithm - NHS Cumbria
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Box 9 - Renal Ultrasound(NCG 73 p12)• Offer a renal ultrasound to allpeople with <strong>CKD</strong> who:- have progressive <strong>CKD</strong>- have visible or persistentinvisible haematuria- have lower urinary tractsymptoms- have a family history of polycystickidney disease and are agedover 20yrs- have stage 4 or 5 <strong>CKD</strong>Box 10 - Immunisation• Offer annual influenza vaccinationto all patients with confirmed <strong>CKD</strong>stage 3 (eGFR < 60 ml/min)• Pneumococcal vaccination andrevaccinate according to DHGuidelines (Green Book) 4• Hepatitis B vaccination if there is apossibility of renal replacement• Advise people with a family historyof inherited kidney disease aboutthe implications of an abnormalresult before arranging the scan<strong>Chronic</strong> <strong>Kidney</strong> <strong>Disease</strong> (<strong>CKD</strong>) <strong>Algorithm</strong> | Page 10
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