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New eGFR < 15

Generally all patients with newly discovered CKD stage 5 should be urgently discussed with the renal unit or renal consultant unless clinically inappropriate

Review patient soon looking for any obvious reason for low eGFR.

  • acute illness
  • bladder outflow obstruction
  • medication review - any new drugs e.g. diuretics, NSAIDs, ACEIs / ARBs
  • heart failure / sepsis
  • repeat eGFR soon


  • Send urine for ACR and MSU, and test for blood