Question

A 65-year-old woman with CKD stage 4 (eGFR 25 mL/min) and poorly controlled hypertension attends clinic. She is on an ACE inhibitor and diuretic. What is the most appropriate management regarding specialist referral?

Accepted Answer

Refer to nephrology because eGFR is <30 mL/min

Answer

No referral is needed until dialysis is required

Answer

Refer only if she becomes symptomatic

Answer

Refer only if eGFR drops below 10 mL/min

Answer

Delay referral until proteinuria develops

Practice question

A 65-year-old woman with CKD stage 4 (eGFR 25 mL/min) and poorly controlled hypertension attends clinic. She is on an ACE inhibitor and diuretic. What is the most appropriate management regarding specialist referral?