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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Evaluate albuminuria and haematuriaBox 7 - AlbuminuriaUrinary protein concentration and approximate equivalent valuesTreatmentACR mg/mmol(albumin:creatinine ratio)PCR mg/mmol(protein:creatinine ration)Urinary protein excretion(g/24hrs)30 50 0.570 100 1No diabetes• ACR < 30 mg/mmol and hypertension: offer a choice of antihypertensive treatment(see NICE guidelines)• ACR > 30 mg/mmol and hypertension: offer ACEI ACR > 30 and < 70 mg/mmol withouthypertension: consider ACEI inhibitor and monitor• ACR > 70 mg/mmol with or without hypertension: offer ACEIDiabetes• ACR > 2.5 (men) with or without hypertension: offer ACEI• ACR > 3.5 (women) with or without hypertension: offer ACEI<strong>Chronic</strong> <strong>Kidney</strong> <strong>Disease</strong> (<strong>CKD</strong>) <strong>Algorithm</strong> | Page 8
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