What are the 5 P’s of CKD?

What are the 5 P’s of CKD?

Keep track of your kidney data with PKB

So. What are the 5 P’s (principles) of CKD care?

Pressure (blood, BP)
  • Keep it normal/low – 130/80 or below all the time – especially with an ACE/ARB (ACE inhibitor (e.g. Ramipril) or angiotensin receptor antagonist (e.g. Losartan)), in most patients

“Having normal/low BP is the single most useful thing you can do to protect your kidneys”

Protein
  • Reduce protein in the urine – ask your doctor why are you not on an ACE/ARB and SGLT2i tablet (e.g. Dapagliflozin)
  • Reduce protein in your diet – this may improve symptoms, and (possibly) slow progression of CKD.

“For most patients, if you have CKD diagnosed, try to do these three things in three months:
(1) start ACE/ARB
(2) add SGLT2i
(3) get BP under 130/80″

Prevention
  • Don’t smoke, keep your weight down and exercise
  • Control other diseases (e.g. diabetes, chronic heart failure (CHF))
  • Progression – know your latest eGFR/creatinine. You need to know how good/bad your kidney function is at all times. You can follow it on the Patient Knows Best website
Professional engagement

Attend all appointments reliably, with your:

Please ask to be referred to a nephrologist (kidney specialist) if you have: CKD4, CKD3B and deteriorating, nephrotic syndrome, or CKD and poor BP control on 3 BP drugs.

Prescribing
  • Know your tablets – and take them reliably (why not ask for a pharmacy review, to check tablets and see if any can be stopped?)

Summary

We have described the 5 P’s (principles) of CKD care. And indicated who needs to be referred to nephrology. We hope it has been helpful.

Last Reviewed on 1 July 2024

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