5/24/13

PubMed Central, Table 4: J Gen Intern Med. 2002 August; 17(8): 659663. doi: 10.1046/j.1525-1497.2002.20634.x

From: J Gen Intern Med. 2002 August; 17(8): 659663. doi: 10.1046/j.1525-1497.2002.20634.x Copyright/License Request permission to reuse

Table 4
Additional Clinical Interventions for Adults with GFR <60 mL/min/1.73 m 2
Clinical Problem Anemia Hemoglobin Param eters to Assess Possible Additional Param eters to Assess (See Other Guidelines) If anemic: Red blood cell indices Reticulocy te count Iron studies (serum iron, total binding capacity , percent transferrin saturation and ferritin) Test for occult blood in stool Medical ev aluation for comorbid conditions Malnutrition Weight Serum albumin Dietary history Subjectiv e global assessment Bone Disease Serum parathy roid hormone Serum calcium Serum phosphorus If malnourished: 24-h urine collection for urea nitrogen ex cretion Food recall/records for protein and total energy intake Medical ev aluation for comorbid conditions If abnormal: V itamin D lev els Bone x -ray s DEXA scan Neuropathy Paresthesias Mental status abnormalities Sleep disturbances Restless legs If sy mptomatic: Neurologic ex am, including mental status Serum electroly tes Medical ev aluation for comorbid conditions Nerv e conduction v elocity Electroencephalogram/sleep studies Reduced functioning and * well-being Standardized, self-administered instruments such as: Dartmouth COOP Charts DUKE/DUSOI SF-36 KDQOL Medical ev aluation for comorbid
1/2

If abnormal:

www.ncbi.nlm.nih.gov/pmc/articles/PMC1495088/table/tbl4/

5/24/13

PubMed Central, Table 4: J Gen Intern Med. 2002 August; 17(8): 659663. doi: 10.1046/j.1525-1497.2002.20634.x

Medical ev aluation for comorbid conditions Self-management education Phy sical rehabilitation Mental health treatment Social support V ocational rehabilitation * Symptoms, physical functioning, depression, employment, usual activities, and social functioning.

Adapted from National Kidney Foundation, K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification and Stratification.1

www.ncbi.nlm.nih.gov/pmc/articles/PMC1495088/table/tbl4/

2/2