Table 3 Showing alert list in CKD registry
Parameters/Conditions | |
|---|---|
1. | Systolic blood pressure > 130 mm of Hg |
2. | Diastolic blood pressure > 90 mm of Hg |
3. | Hemoglobin < 10 g/dl |
4. | Not receiving angiotensin-converting-enzyme inhibitor (ACEI) and angiotensin II-receptor blocker (ARB) |
5. | Slope of estimated glomerular filtration rate (eGFR) per period ≥4 |
6. | HbA1C < 6.5% |
7. | HbA1C > 7.5% |
8. | LDL cholesterol > 100 mg/dl |
9. | Serum potassium > 5.5 mEq/L |
10. | Serum bicarbonate < 22 mEq/L |
11. | Not evaluated with urine protein strip |
12. | Not evaluated for urine protein to creatinine ratio (UPCR) or urine protein 24 h |
13. | UPCR ≥500 mg/g or Urine protein 24 h ≥ 500 mg /day |
14. | Serum phosphate > 4.5 mg/L |
15. | Serum parathyroid hormone (PTH) is not normal |
16. | Did not receive AVF preparation before starting hemodialysis |
17. | Participated in educational classes on various topics |
18. | Notify this eGFR and CKD period and within the past 3 months |
19. | eGFR value < 60 should see a doctor |
20. | There is a decrease in the rate of GFR over 5 ml/min/1.73 m2 per year |
21. | eGFR< 30 received a consultation on RRT |
22. | eGFR< 30 also received metformin |
23. | Diabetic patients with albuminuria > 30 mg/day and not receiving ACEI or ARB |
24. | No diabetes, have albuminuria > 300 mg/day and do not receive ACEI or ARB |
25. | Received ACEI/ARB, be aware of the occurrence of AKI and hyperkalemia. Advice should be given. |
26. | Have received ACEI or ARB but had to stop the drug because of an adverse event |
27. | Protein content in urine ≥1+ |
28. | Diabetics who do not check urine albumin at least 2 times a year |
29. | Not being a CKD and receiving NSAIDs for more than 2 weeks |
30. | CKD patients receiving NSAIDs |
31. | Time for dispensing in the program if there is a drug that needs to be adjusted according to creatinine clearance (CrCl), if wrongly ordered, there will be a warning every time or if there is no adjustment according to CrCl, remind every time |
32. | The history of diagnosing an acute kidney injury last day, month, year |
33. | There is a disease or condition that is at risk of CKD, being tested for serum creatinine and urine protein or albumin once a year (diabetes, hypertension, gout, SLE, over 60 years old, receiving nephrotoxic drugs, upper urinary tract infection ≥3 times a year, with cardiovascular disease, polycystic kidney disease, kidney disease from birth, have a history of kidney disease in the family) |
34. | UA detection of proteins or red blood cells in urine, consider sending a doctor |
35. | Serum creatinine increases more than or equal to 0.3 mg/dl: acute kidney injury should determine the cause |
36. | GFR < 30 ml/min/1.73m2 consider sending for consultation to a doctor |
37. | GFR < 15 ml/min/1.73m2 should submit assessment for preparation for renal replacement therapy |
38. | Being on ACEI/ARB and serum potassium > 5 mEq/L |