Question

A 63-year-old with CKD (eGFR 28) and UACR 550 mg/g on ACE inhibitor asks about nephrology referral. What do guidelines suggest?

Accepted Answer

Refer when eGFR <30 or UACR ≥300 mg/g, progressive decline, or other high-risk features

Answer

Refer when eGFR <60 for all

Answer

Refer when eGFR <45 regardless of albuminuria

Answer

No referral unless dialysis needed

Answer

Refer only if hyperkalemia occurs

Practice question

A 63-year-old with CKD (eGFR 28) and UACR 550 mg/g on ACE inhibitor asks about nephrology referral. What do guidelines suggest?