Chronic kidney disease and its complications part 2

Kidney cartoon 4

 

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)

 

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