The CARI Guidelines – Caring for Australians with Renal Impairment Prevention of Progression of Kidney Disease
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چکیده
a. All patients with Type 1 or Type 2 diabetes mellitus complicated by microalbuminuria or overt nephropathy should be treated with an angiotensin converting enzyme inhibitor (ACEI), independent of blood pressure and GFR. (Level I evidence, greater for Type 1 than Type 2). There is no evidence that any specific ACEI offers any advantage over the class effect. b. Hypertensive diabetics without albuminuria should be treated with ACEI as first-line antihypertensive therapy. (Level I evidence)
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The CARI Guidelines – Caring for Australians with Renal Impairment Nutrition and Growth in Kidney Disease
In non-diabetic CKD patients, the hypertriglyceridaemia can be reduced by both increasing the dietary polyunsaturated: saturated fat ratio and by reducing the carbohydrate content of the diet. Dietary modification under the supervision of a suitably qualified dietician may be helpful for managing the hypertriglyceridaemia. Patients with other coronary risk factors (i.e. smoking, hypertension, o...
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• The diagnosis of kidney disease should be based on a glomerular filtration rate (GFR) < 60 mL/min/1.73 m 2 and/or the presence of kidney damage (manifested by persistent microalbuminuria, persistent proteinuria, persistent haematuria after exclusion of urological causes, or structural abnormalities on kidney imaging tests), irrespective of the underlying diagnosis. (Opinion) • A diagnosis of ...
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• There is no convincing evidence that serum cystatin C measurement offers any clinical advantage over estimated glomerular filtration rate (eGFR) (Level III evidence, small-to-medium observational cohort studies, surrogate outcomes, weak effect) except that serum cystatin C appears to be superior to both serum creatinine and eGFR as a predictor of cardiovascular events in the eldely (age ≥ 65 ...
متن کاملThe CARI Guidelines – Caring for Australasians with Renal Impairment Prevention of Progression of Kidney Disease
Databases searched: Medline (1999 to November Week 2, 2003). MeSH terms for kidney disease were combined with MeSH terms and text words for alkali therapy and bicarbonates. The results were then combined with the Cochrane highly sensitive search strategy for randomised controlled trials and MeSH terms and text words for identifying meta-analyses and systematic reviews. The Cochrane Renal Group ...
متن کاملThe CARI Guidelines – Caring for Australians with Renal Impairment Urine Protein as Diagnostic Test (October 2004) 3. Evaluation of Proteinuria in Children
Proteinuria in a single urine specimen is relatively common in children, with a reported prevalence between 1%-10% (Hogg et al 2000; K/DOQI guidelines, Guideline1, Part 4). However, persistent proteinuria is much less common, with one American study of nearly 9000 school children reporting proteinuria in 1 out of 4 samples in 10.7% of children, but proteinuria in all 4 samples in only 0.1% (Veh...
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