Page 13 - beaumont_book_5
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KNOW YOUR KIDNEY NUMBERS

        If you have been diagnosed with CKD, you should have been given an indication of what degree it is at –
        from Stage 1 to 5 on the scale. These stages are listed on Page 5 of this book.
           If you have been diagnosed in the earlier stages of CKD, you will be able to take measures to look after
        your kidneys and try to slow down or delay the loss of kidney function.
           It is important therefore to know your numbers and this section looks at the relevant numbers for
        patients with CKD – Stage 1-5.

                                              TABLE - NUMBERS FOR CKD
                              Average person       Stage 3 and 4 CKD    Stage 5 CKD          Stage 5 CKD
                              No CKD                                    on Dialysis          Transplanted


         Haemoglobin          Men: 13.8 to 17.2    Target 11-12         Target 11-12         Target 11-12
                              g/dL
                              Women: 12.1 to 15.1
                              g/dL


         White cell count     4 to 11 thousand     4 to 11              4 to 11              4 to 11
                              million per Litre


         Calcium               2 - 2.5 mmol/L      2.3 - 2.5            2.3 - 2.5            2.3 - 2.5
                              (serum calcium)

         Phosphate            0.9 - 1.3 mmol/L     0.9 -1.5             1.1 -1.7             0.9- 1.5


         Cholesterol          Target should be     Target  <5 mmol/l                         Target <5 mmol/l
                              <5 mmol/l

         Potassium            3.5 – 5.0 mmol/L     3.5 - 5.0            3.5 - 5.0            3.5 - 5.0


         Bicarbonate          23 – 30 mmol/L       Target levels > 22   Target levels > 22   Target levels > 22


         Parathyroid Hormone  10 – 55 pg/ml        Levels should be     Target range are levels Is not applicable
         (PTH)                                     treated if persistently  between 2 to 9 times
                                                   elevated above upper  upper limit normal
                                                   limit normal


         Systolic BP/         120/80 mmHg          Target 130/80 mmHg   Target 130/80 mmHg   Target 130/80 mmHg
         Diastolic BP                              in most patients     in most patients     in most patients
                                                   If protein leakage,
                                                   target 125/75 mmHg


         Creatinine           Men: 62 to 115       Elevated creatinine  Elevated creatinine  Elevated creatinine
                              micromol/litre       values               values               values
                              Women: 53 to 97
                              micromol/litre


         Glomerular Filtration  Approximately      Stage 3: 30-59 ml/min  Stage 5: < 15 ml/min
         Rate (GFR) or        100 ml/min           Stage 4: 15-29 ml/min  and receiving dialysis
         percentage kidney    (i.e. ~100% function)                     treatment
         function


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