Thursday, August 23, 2018

Chronic kidney disease and its complications part 2





Chronic kidney disease and its complications:

ALBUMINURIA

Albuminuria is an important prognostic feature in chronic kidney disease. The degree of albuminuria relates to the severity of the kidney disease and with a greater likelihood of progression to end stages of chronic kidney disease. The amount of albuminuria can be reduced significantly by the use of an ACE inhibitor  (Angiotensin-converting enzyme inhibitor) and ARB (Angiotensin II receptor blocker) agent. Reduction in the amount of albuminuria is associated with improved outcomes

Management
  • ACE inhibitor  or ARB therapy as first-line therapy
  • Reduction in salt output through reducing oral salt intake
  • Spironolactone (use with caution on specialist advice and ensure regular monitoring of serum potassium)

No comments:

Post a Comment