Staging System for Chronic Kidney Disease (CKD) ... severe azotaemia. Systemic signs present: e.g. bone pain, uraemic gastritis, anaemia, metabolic acidosis.
Staging System for Chronic Kidney Disease (CKD) STEP 1. Staging is initially based on fasting plasma creatinine assessed on at least two occasions in the stable patient. Plasma creatinine concentrations apply to average size dogs - those of extreme size may vary.
Plasma creatinine µmol/l mg/dl
Renal function remaining*
Old Terminology** Normal renal function
100%
Early renal disease: No biochemical evidence.
< 125 < 1.4
STAGE 1
Renal insufficiency: No azotaemia. Decreased GFR; poor concentrating ability.
33%
STAGE 2
125-179 1.4-2.0
Early renal failure: Mild azotaemia. Mal-adaptions can lead to hyperparathyroidism and hypokalaemia.
180-439 2.1-5.0
Uraemic renal failure: Moderate to severe azotaemia. Systemic signs present: e.g. bone pain, uraemic gastritis, anaemia, metabolic acidosis.
PROTEINURIC. Substaging CKD: urine protein to creatinine ratio (UP/C). NB. Any level of proteinuria or hypertension can occur at any stage of CKD i.e. at any ...
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