Navigation for Departments

New eGFR 15 - 29

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

  • acute illness
  • bladder outflow obstruction
  • medication review - any new drugs eg diuretics, NSAIDs, ACEIs / ARBs
  • heart failure / sepsis

Generally all patients with CKD stage 4 should be referred or discussed with  renal medicine unless clinically inappropriate

  • Repeat eGFR within a few days, if unwell then sooner
  • Send urine for ACR and MSU and test for haematuria
  • Request renal and bladder ultrasound examination
  • Refer renal medicine


  • If patient unwell and concerned about acute renal failure – consider telephone referral to on call renal consultant