Un comité de expertos K/DOQI(14), ha propuesto que el diag- nóstico de ERC debe ser establecido por la presencia de los siguientes criterios: a. Daño renal. Kidney Foundation Americana (NKF), em seu documento Kidney Disease Outcomes Quality Initiative (K/DOQI), que se baseia nos seguintes critérios Se desarrollan los criterios de la derivación a consulta de nefrología hospitalaria K/DOQI clinical practice guidelines for chronic kidney disease: evaluation.

Author: Nazragore Jujar
Country: Turks & Caicos Islands
Language: English (Spanish)
Genre: Politics
Published (Last): 25 March 2007
Pages: 333
PDF File Size: 2.6 Mb
ePub File Size: 16.88 Mb
ISBN: 373-5-54487-278-2
Downloads: 85874
Price: Free* [*Free Regsitration Required]
Uploader: Nalar

The objective is to avoid a patient who is a candidate for renal replacement therapy requiring non-scheduled dialysis. Alpern RJ, Sakhaee K. Renal dysfunction complicating the treatment of hyperensio. Kdoqqi continuous conceptual CKD model 7 includes risk factors for each phase, which are classified into susceptibility, initiating, progression and end-stage factors Table 1.

Glibenclamide and glimepiride are metabolised in the liver to weaker metabolites, but are eliminated in urine, and as such, even in low doses, their use is not recommended in patients with CRF. A FG diminui com a idade. Acknowledgements We would like to thank Esteve and Abbvie laboratories for their logistical support in the project. Prevalence of chronic kidney disease and decreased kidney function in the adult US population: Influence of contrast media on single nephron glomerular filtration rate in rat kidney.

Protein content must be adjusted to 0. Drugs that are eliminated via the liver are the drugs of choice fluvastatin, atorvastatin, pitavastatin and ezetimibe. It is useful for the decision to be made at an early stage, since it allows follow-up to be organised before a very significant deterioration has occurred in the patient.

N Engl J Med. Moreover, the indiscriminate use of intravenous contrast agents without prior preparation may cause contrast-induced nephropathy. In stage 4, it critrrios even advised to maintain PTH values slightly higher than normal values. With certain joint protocols, some intravenous Fe may be administered in the health centre under medical supervision. Estimating renal function for drug dosing decisions. One of the factors that increase renal damage and accelerate renal function deterioration is dyslipidaemia, independently of its arteriosclerosis-promoting effect.


Insulin requirements are very variable and as such, individualisation of treatment is essential.

Chronic kidney diseases: common and harmful, but also preventable and treatable

In health areas where there are home support teams, whether they are dependent on Primary Care or Specialist Care, their inclusion in the therapeutic team could be very useful. A DRC pode ser diagnosticada sem o conhecimento da sua causa. This combination must include a thiazide or loop diuretic depending on the severity of CKD. J Am Soc Nephrol. CKD definition, epidemiology and risk factors and criteria on diagnosis, assessment and staging of CKD, albuminuria and glomerular filtration kdoai.

In elderly patients, this measurement will be carefully individualised. Ann Intern Med ; 8: Wanner C, Krane V, M?? In order to determine albuminuria in a patient, two high values in three samples obtained over a 3 to 6 month period are necessary. Iron deficiency critdrios patients with chronic kidney disease: Nephrol Dial Transplant ; HBP, seizures, arteriovenous fistula thrombosis, increase in blood viscosity.

The optimal initiation of renal replacement therapy RRT is that which is planned.

Consensus document for the detection and management of chronic kidney disease

Its purpose is, therefore, to prevent, detect, refer to the specialist and manage CKD, with the aim of improving kidney health and prognosis in our patients. CKD, as well as old age, female sex, a low BMI, liver dysfunction, alcohol consumption, systemic diseases and hypothyroidism, increase the risk of side effects, however, these are not common.


Once the crjterios has been diagnosed with CKD, the most important thing is to avoid its evolution, and as such, we must be aware that there are drugs used in daily practice, and more specifically, in these patients, that may cause this disease to worsen. Simple isolated renal cysts alone are NOT criteria for renal damage.

We must remember that determining proteinuria includes not only the quantification of albuminuria, but also the quantification of low molecular weight proteins, such as proteins of tubular origin or immunoglobulin light chains.

Binders with calcium include calcium carbonate, calcium acetate or its combination with magnesium.

Patients must be monitored every months. Atorvastatin in patients with type 2 diabetes mellitus undergoing hemodialysis. Kinetics of glycosylated hemoglobin in uremia determined on ion-exchange and affinity chromatography.

Consensus document for the detection and management of chronic kidney disease

Progression must be defined on the basis of two aspects:. Nefrologia English Version ; CKD prevalence is increasing due to an ageing population, the increased prevalence of risk factors such as cardiovascular disease and diabetes mellitus DMre blood pressure HBP or obesity and, obviously, due to its early diagnosis.

The most important aspect for preventing nephropathy by contrast is to detect it in patients at risk of developing it old age, heart failure, DM, previous renal failure, dehydration, acute myocardial infarction, shock, contrast volume, anaemia, low blood pressure, the use of nephrotoxins and high doses of diuretics, taking care with drugs that alter glomerular haemodynamics and avoiding low blood pressure. N Engl J Med ;