Hypertension management in patients with chronic kidney disease.

Managing hypertension, especially when accompanied by chronic kidney disease, is challenging. These different but related conditions are complicated by differing guidelines. NPs can safely prescribe antihypertensive treatments, which reduce hypertension and the risk of associated comorbidities, such as kidney failure, stroke, myocardial infarction, and vascular disease.

Chronic kidney disease: New paradigms in diagnosis and management.

This article provides a step-by-step approach to evaluating kidney function and appropriately treating chronic kidney disease (CKD) in a primary care setting. Early detection and management of CKD will decrease the rate of progression to end-stage renal disease.

The right patient, the right treatment, the right access and the right time.

As the incidence of CKD increases, so will the ESRD population. Pre-ESRD care, including early referral to nephrology and patient education, enables patients and providers working together to determine which therapy modality is best suited for their individualized needs: conservative therapy, kidney transplant, hemodialysis, or peritoneal dialysis. Differentiating the therapy modality should be based on many factors and not solely based on outcome data.