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Medical Follow-Up

Patients with chronic kidney disease (CKD) are often afflicted with multiple co-morbidities including diabetes and cardiovascular disease, and this burden of illness often demands multiple therapeutic and diagnostic interventions. The multidisciplinary care of patients with CKD may be complex; several doctors may make varying interventions, a multitude of diagnostic tests may be ordered, and ER visits and hospitalizations may be frequent. As a result, medications are frequently started and stopped and doses modified. Given the complexity of care in managing patients with CKD, it is important to remember the need for proper medical monitoring and communication with collaborating physicians.

Since many treatment modifications and diagnostic or therapeutic interventions can have an impact on renal function and other aspects of the CKD patient’s health, planning for follow-up can be critical. Timely surveillance after a treatment modification or intervention is a useful way to detect disturbances that may lead to an unexpected harmful outcome from medical care, such as accelerated deterioration in renal function, abrupt changes in blood pressure, worsening edema or heart failure, or increasing hypoglycemia. A follow-up visit and/or laboratory tests should be considered a few weeks following any significant therapeutic or diagnostic intervention in order to assess the health effect of that intervention and to prevent an adverse outcome.

Questionnaire study and audit of use of angiotensin converting enzyme inhibitor and monitoring in general practice: the need for guidelines to prevent renal failure. Kalra PA, Kumwenda M, MacDowall P, Roland MO.
BMJ. 1999 Jan 23;318(7178):234-7.

Last Updated - May 08 2017 15:25:51.

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