Working with a nephrologist: Stages 4 and 5 chronic kidney disease (CKD)

Working with the Nephrologist is a case study-based activity that identifies some common complications in CKD stages 4 and 5. A suitable management plan to slow the progression of CKD stage 4 in the setting of diabetic nephropathy will be discussed along with treatment options in kidney failure and when to refer to a nephrologist.

Early referral to nephrologist services results in a significant reduction of CKD progression. Therefore, timely referral to nephrology care with optimized management and medical treatment prolongs the time at which dialysis or renal replacement therapy commences.

Presenter

Dr Arjuna Marasinghe, Nephrologist

Learning outcomes:

• Describe a management plan to slow the progression of CKD in the setting of CKD stage 4 diabetic nephropathy
• Evaluate when to refer to a nephrologist
• Explain some common complications as CKD progresses
• Discuss treatment options available to patients with kidney failure