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Comprehensive Chronic Kidney Disease (CKD) Management: Evidence-Based Approaches

🩺 Hypertension & Kidney Health: Optimizing Blood Pressure to Safeguard Renal Function

• Implementing a target systolic blood pressure (SBP) of <120 mm Hg is recommended for adults with CKD, when tolerated, to slow disease progression and reduce cardiovascular risk.

• First-line pharmacological interventions include ACE inhibitors or angiotensin receptor blockers (ARBs), particularly in patients with elevated albuminuria or reduced eGFR.

🩺 Dialysis Treatment: Advanced Hemodialysis & Peritoneal Dialysis Options

• Personalized dialysis plans are essential, considering factors like residual kidney function, comorbidities, and patient preferences.

• Regular monitoring and adjustment of dialysis prescriptions are crucial to optimize patient outcomes and minimize complications.

🩺 Kidney Transplantation: Comprehensive Pre- and Post-Operative Care

• Thorough evaluation of transplant candidates, including immunological assessments and psychosocial evaluations, is vital.

• Post-transplant care focuses on immunosuppressive therapy management, infection prevention, and monitoring for graft function.

🩺 Diabetes-Related Kidney Disease: Preventive Strategies for Diabetic Nephropathy

• Aggressive glycemic control and blood pressure management are paramount to prevent or slow the progression of diabetic nephropathy.

• Regular screening for albuminuria and eGFR is recommended for early detection and intervention.

🩺 Acute Kidney Injury (AKI): Rapid Diagnosis and Intervention Protocols

• Early identification and management of AKI are critical to prevent progression to chronic kidney disease.

• Treatment strategies include optimizing fluid balance, avoiding nephrotoxic agents, and considering renal replacement therapy when indicated.