Nephrology

Nice | Anaemia in CKD

This is an updated guideline from Nice on anaemia in chronic kidney disease. The main changes relevant for us are the tests which should be used to diagnose it and the targets for treatment. This guideline seems to be for any patient with CKD and GFR less than 60. I am not covering children, patients…
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Nice | Chronic kidney disease

  This is the updated guideline from NICE which looks at CKD. There is some stuff that as similar in this to previous guidelines, but a fair bit that is different. I have highlighted the main differences and why they have been made, then included a flow chart which covers the main features of management, then summarised…
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Nice | Acute kidney unjury

This is a new guideline on Acute Kidney Injury. Acute Kidney Injury is the new name for Acute Renal Failure (ARF), although it has a much broader definition than ARF did. It is present in up to 18% of people admitted to hospital and is more prevalent in the elderly. We are being encouraged to…
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Hyperphosphataemia in CKD

This guideline is really aimed at secondary care as it will be the worst affected patients that suffer with hyperphosphataemia. However, we do have some stable CKD4 patients just under primary care, so it is worth remembering that this can be an issue. Basically, patients with CKD 4 or 5, should have their phosphate levels…
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Anaemia in CKD

Most of this is aimed a specialists, though some of it is useful to know: If GFR ≥ 60, anaemia is unlikely to be due to CKD. In adults you would want to investigate anaemia due to CKD further when their Hb < 11, or if they have symptoms of anaemia.     Louise HudmanI’m…
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