What precautions should be taken if the GFR is below 40 ml?
Dr Vijay Kher
Chairman,
Department of Nephrology and Kidney transplant Medicine,
Fortis Kidney and Urology Institute,
Fortis Escorts Hospital, New Delhi
Chairman,
Department of Nephrology and Kidney transplant Medicine,
Fortis Kidney and Urology Institute,
Fortis Escorts Hospital, New Delhi
Q: What should we do if the glomerular filtration rate (GFR) is below 40 ml for a 53 years old patient with chronic kidney disease (CKD)?. I also have high blood pressure of 150/90 mmHg too. I have been taking Ketolog daily. Please advise.
A:40 ml of GFR means chronic kidney disease (CKD) stage 3. Avoid routine pain killers called NSAIDS. Blood pressure needs to be kept below 130/80 mmHg. As for diet is concerned calories should be 35 kcal/kg body weight, proteins 0.7 gm/kg, salt 3 to 4 gm/day, depending on BP and swelling. Should stop smoking. Cholesterol and other lipids should be kept below targets.