ch 9 stages of chronic kidney disease

stage 1

patient is at risk due to structural abnormalities, genetic concerns or urine findings although kidney function is normal

stage 1 gfr

over 90 mL/min

stage 1 nursing interventions

screen for risk factors and provide education to reduce risks of conditions such as diabetes and hypertension

stage 2

mild chronic kidney disease

renal function has begun to be impaired

diagnostic testing indicates kidney disease

stage 2 gfr

60-89 mL/min

stage 2 nursing interventions

continue to reduce risk factors

stage 3

moderate chronic kidney disease

renal function shows impairment

stage 3 gfr

30-59 mL/min

stage 3 nursing interventions

provide interventions to slow development of disease process

stage 4

severe chronic kidney disease

renal function is severely impaired

stage 4 gfr

15-29 mL/mins

stage 4 nursing interventions

focus on management of complications

educate about options available when in stage 5

stage 5

end-stage renal disease ESRD

kidneys cannot maintain homeostasis

waste elimination is severely impaired as urea and creatinine build up in blood

stage 5 gfr

less than 15 mL/min

stage 5 nursing interventions

educate patient about options and prepare for dialysis, kidney transplant, or withdrawal from therapy based on patient’s wishes