Jeff Kaufhold, MD FACP
Nephrology Associates of Dayton
Office (937) 438-3132 or 235-2757
1. Clear toxins from metabolism, foods and drugs out of your body
2. control blood pressure and prevent fluid and salt retention
3. control electrolyte levels (Sodium, potassium, phosphorus, magnesium)
4. control acid level in blood and maintain a normal pH
5. hormone functions-makes erythropoietin which prevents anemia, processes Vitamin D to ensure bone health, makes hormones that control blood pressure.
Stages of Chronic Kidney Disease
The measure of kidney function is the GFR (glomerular filtration rate).
This tells us how well your kidneys filter toxins out of your blood.
normal GFR is 100-120 (100 % renal function) with less than 200 mg of protein in urine
Stage 1 >90 (% renal function) early disease
Stage 2 60-89* minimal disease
Stage 3 30-59 mild disease May have high BP, swelling – Should start seeing a nephrologist in this range.
Stage 4 15-29 moderate disease Needs special meds and Diet
Stage 5 < 10-14 severe disease Needs to start dialysis.
Your GFR (% renal function) is ______
We spot-check kidney function and follow trends with the creatinine.(Cr). It is a product of muscle metabolism that is spilled into the blood and cleaned out by the kidneys. So, what is a normal value for any one person depends on their muscle mass. The lower the creatinine, the better the kidney function. A normal Cr is about 0.8 to 1.3
Currently, your Cr is: ______
Controlling Kidney Disease
1. must control diabetes: goal hemoglobin Al C is 6.5 or less.
2. must control high blood pressure: goal <125/75
3. medications: ACE Inhibitor~ or Angiotensin Receptor Blockers
YOU are on ____________
4. stop smokmg
5. control cholesterol: goal LDL < 100. Yours is: ______
6. Avoid things that are toxic to the kidney:
-NSAID’s: ibuprofen, naproxen, piroxicam, high dose aspirin
-Cox 2 Inhibitors: Celebrex
-Tylenol (acetamenophen) is OK!
-IV contrast dye (used for angiograms and some CT scans). If you need IV dye, call my office as soon as you find out so I can adjust meds and fluids to help protect your kidneys.
7. Follow up with the Nephrologist Regularly