Question

A 52-year-old with eGFR 28 mL/min/1.73 m² and ACR 320 mg/g has stable BP on ACE inhibitor. What is recommended regarding specialty referral?

Accepted Answer

Refer now to nephrology

Answer

No referral unless eGFR <20

Answer

Refer only if ACR >1000 mg/g

Answer

Refer if creatinine doubles from baseline

Answer

Primary care can manage alone

Practice question

A 52-year-old with eGFR 28 mL/min/1.73 m² and ACR 320 mg/g has stable BP on ACE inhibitor. What is recommended regarding specialty referral?