Evidence-Based Practice Recommendations
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In adult patients with stages 1 through 4 chronic kidney disease, the Department of Veterans Affairs Guideline Panel suggests intensive blood pressure management beyond a target of less than 140/90 mmHg, to reduce mortality in patients with estimated glomerular filtration rate below 60 mL/minute/1.73 m2.
(https://www.healthquality.va.gov/guidelines/CD/ckd/VADoDCKDCPGFinal5082142020.pdf Last Accessed: November 21, 2024)Strength of Recommendation: Weak for
The Department of Veterans Affairs Guideline Panel recommends against offering erythropoiesis-stimulating agents to patients with chronic kidney disease for the purpose of achieving a hemoglobin target greater than 11.5 g/dL due to increased risk of stroke and hypertension.
(https://www.healthquality.va.gov/guidelines/CD/ckd/VADoDCKDCPGFinal5082142020.pdf Last Accessed: November 21, 2024)Strength of Recommendation: Strong against
In the adult with stage 3–5 CKD and diabetes, the National Kidney Foundation's Kidney Disease Outcomes Quality Initiative asserts it is reasonable to prescribe, under close clinical supervision, a dietary protein intake of 0.6–0.8 g/kg body weight per day to maintain a stable nutritional status and optimize glycemic control.
(https://www.ajkd.org/article/S0272-6386 Last Accessed: November 21, 2024)Level of Evidence: Expert Opinion/Consensus Statement
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- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.