Chronic Kidney Disease (CKD) Algorithm - NHS Cumbria

Box 11 - Anaemia (NCG 114) 5• Check haemoglobin in people witheGFR < 45 ml/min to identify anaemia• Exclude other causes of anaemia• Consider referral for erythropoietin ifhaemoglobin < 10 g/dl• NICE guidance target haemoglobin forpatients on erythropoietin 10 -12 g/dl.Higher haemoglobins may be harmfulBox 12 - Potassium (NCG 73 p14) 1• Repeat if raised• If > 5.5 mmol/l- do not start ACEI/ARB- exclude other factors that causehyperkalaemia & recheck• If > 6.0 mmol/l and other drugs thatpromote hyperkalaemia have beendiscontinued, stop ACEI/ARBs• If > 7.0 mmol/l, repeat test and referurgently• If taking drugs that causehyperkalaemia, more frequentmonitoring of potassium is requiredChronic Kidney Disease (CKD) Algorithm | Page 11