Kidney disease: a guide to early detection and long-term care.

Kidney disease: a guide to early detection and long-term care.

Rutecki G W; Whittier F C

Consultant (00107069)

1993

1993-12

Early detection and careful management of kidney disease can help slow or halt progression to renal failure. Early diagnosis is based on a history and physical examination, urinalysis (with dipstick testing for protein, blood, and pH), and microscopic evaluation of spun sediment. Measure serum creatinine annually in all your hypertensive patients and biennially in other adults. Determine creatinine clearance in those whose serum levels are elevated and in patients over age 60 who are taking renally excreted drugs. Strict blood pressure control is essential; also, try to avoid nephrotoxins, treat urinary tract infections, and carefully adjust dosages of any medications that require renal excretion.

Kidney Function Tests; Kidney Failure; Chronic; Renal Insufficiency – Complications; Nephrotoxicity – Prevention and Control; Creatinine – Analysis; Renal Insufficiency – Diagnosis; Renal Insufficiency – Physiopathology; Renal Insufficiency – Therapy

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