Chronic Renal Failure GFR Decline

Are you evaluating a patient with chronic kidney disease?

Yes

Has the patient?

• developed an obstruction in the urinary tract?

Yes

• become dehydrated or volume depleted?

Yes

Is the patient being treated with?

• cyclosporine?

Yes

• tacrolimus?

Yes

• an angiotensin-converting enzyme inhibitor?

Yes

• an angiotensin-2 receptor blocker?

Yes

• a COX-2 inhibitor or other NSAID?

Yes

• an aminoglycoside?

Yes

• amphotericin B?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for a sudden decline in GFR

The risk for a sudden decline in GFR is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Chronic Kidney Disease Screening
Laboratory Tests
- Rapid Decline in Renal Function
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
- Acute Kidney Injury Following Orthopedic Surgery Model

Therapy

Selection
- Simplified Categorical Model of Kshirsagar et al for Identifying an Adult at Risk for Chronic Kidney Disease
- Risk Factors for Acute Renal Failure (ARF) in Ambulatory Patient Infected with HIV
Surgery
- Acute Kidney Injury Following Orthopedic Surgery Model

Monitoring

Disease Progression
- Rapid Decline in Renal Function
- Predictors for Disease Progression - Chronic Kidney Disease (CKD)
Complication Detection
- Rapid Decline in Renal Function

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Purpose: To identify potential causes for an acute decline in glomerular filtration rate (GFR) for a patient with chronic renal disease.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10