Chronic Kidney Disease
Body Mass Index DM HTN DLP

Definition


Prognosis of CKD
by GFR and albuminuria category

Persistent albuminuria (Albumin to creatinine ration)
A1 A2 A3
Normal to mild Moderate Severe (Refer)
< 30 mg/24hr 30 - 300 mg/24hr > 300 mg/24hr
< 30 mg/g 30 - 300 mg/g > 300 mg/g
< 3 mg/mmol 3 - 30 mg/mmol > 30 mg/mmol
GFR category (mL/min/1.73 m2)
G1 Normal or high ≥ 90 Low Moderate High
G2 Mild decreased 89 - 60 Low Moderate High
G3a Mild to moderate decreased 59 - 45 Moderate High Very high
G3b Moderate to severe decreased 44 - 30 High Very high Very high
G4 Severe decreased 29 - 15
(Refer)
Very high Very high Very high !
G5 Kidney failure < 15
(Refer)
Very high ! Very high ! Very high !

เป้าหมาย Blood pressure in CKD

คนที่ "ไม่มี Complication" < 140/90
อายุ < 50 ปี < 130/80
อายุ 60 - 80 ปี< 140 - 150/90
อายุ ≥ 80 ปี< 150/90
DM< 140/90
CKD without albuminuria + microalbumin < 30 mg/day < 140/90
with albuminuria + microalbumin ≥ 30 mg/day < 130/80
เคยมี Lacunar stroke< 130/80
เคยมี Coronary artery disease140 - 115 / 90 - 60

Note