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Chronic kidney disease plan

‍‍﻿‍CBC, BMP, TSH, lipids, fasting glucose, HbA1c﻿ ‍Urinanalysis﻿ ‍microalbuminuria﻿ q 3 months if GFR < 60
‍‍﻿‍Calcium, Magnesium, Phosphorus, PTH, Uric acid, Ferritine, Vitamine D﻿ if GFR < 40
‍‍﻿‍ARB: Irbesartan 75mg qd﻿ consider if GFR < 60 or microalbuminuria
‍‍﻿‍Diuretic: Loside 1.25mg qd﻿ 
‍‍﻿‍Statin﻿ consider if > 50 y/o
‍‍﻿‍Kidney doppler ultrasound﻿ consider if GFR < 60
‍‍﻿‍Nephrology referral﻿ if unclear etiology for CKD or GFR <30 
‍‍﻿‍Medication reviewed/adjusted﻿ think metformin, diuretic, calcium suppl, PPI
‍‍﻿‍Avoid NSAIDs﻿ ‍Ask pharmacist for OTC meds﻿ 
‍‍﻿‍BP control < 130/80﻿  ‍Diabetes control HbA1c < 7.0﻿ 
‍‍﻿‍Diet discussed (limit salt and proteins)﻿  ‍Exercise 3x/week﻿ 
‍‍﻿‍Vaccine for pneumococcus﻿ q 5 years for 2 doses
‍‍﻿‍Annual vaccine for influenza﻿ 

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