|Image Source: dwp.gov.uk|
|1||Kidney damage with normal or increase GFR. The patient usually has no symptons.||greater than 90 |
70% of normal function
|Diagnose and treat cause. |
Try to slow progression
Reduce CVD risk.
|2||Kidney damage with mild decrease in GFR||70%||Estimate progression of disease|
|3||Modrate decrease in GFR. Symptoms may become noticable. May have fatique, anemia disorder of calcium and phospoic balance, swelling, high blood pressure.||55%||- Assess anemia, nutrition and bone status. |
- Treat complications.
- Stage 1 & 2
|4||Severe decrease in GFR. Usually symptomatic. Preparation for dialysis or transplant should begin.||25 %||-Referral to nephrologist.|
Prepare for RRT (Predialysis education)
- Start RRT earlier if elderly, diabetes, CVD, other common complications
|5||Kidney failure||less than 15 (dialysis)||- Uremic symptoms, marked increase in urea, creatinine, potassium, and fluids.|
- Start RRT.