What is the first-line medication therapy for a patient with chronic kidney failure?

What is the first-line medication therapy for a patient with chronic kidney failure?

The use of ACE inhibitors and ARBs has been found to slow progression of CKD and is considered first-line treatment in patients with albuminuria. Strategies for slowing progression: Improved blood pressure control.

How is hypertension treated in chronic kidney disease?

Blood pressure should be controlled to less than 130/80 if you have CKD. medications for your treatment are angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs). an ACE inhibitor or an ARB for you, even if your blood pressure is normal.

What is the most important treatment for CKD?

An alternative to dialysis for people with severely reduced kidney function is a kidney transplant. This is often the most effective treatment for advanced kidney disease, but it involves major surgery and taking medicines (immunosuppressants) for the rest of your life to stop your body attacking the donor organ.

Which medication is recommended as a renal protective treatment for patients with hypertension?

In fact, angiotensin converting enzyme inhibitors (ACE-is) and angiotensin receptors blockers (ARBs) have an established record for renal protection and albuminuria reduction and are considered the antihypertensive drugs of choice in CKD patients.

How is antihypertensive therapy used in kidney disease?

Antihypertensive Therapy in Kidney Disease large, multisite, prospective cohort of hypertensive veterans. We specifically explored the associations of CKD with measures of systolic, diastolic, and pulse pressure separately. We hypothesized that CKD would be independently associ-

Are there any direct renin inhibitors that are antihypertensive?

Similarly, the direct renin inhibitor aliskiren has antihypertensive efficacy, but its role is undefined: large randomized trials that added aliskiren to ACEi or ARB therapy in diabetes or heart failure found no cardiovascular or kidney benefit, but these trials did show more adverse events for the combinations, including hyperkalemia ( 17, 18 ).

How is hypertension treated in patients with CKD?

Treatment of hypertension plays a central role in the management of CKD, including in patients with ESKD. Hypertension is both a cause and a consequence of CKD, and its prevalence is high among patients with CKD and ESKD ( 1, 2 ).

What is the objective of chronic kidney disease?

Objective: To provide a framework for successfully managing chronic kidney disease (CKD) over an extended period of time with the goal of optimizing clinical outcomes by fostering a veterinarian-client relationship that facilitates successful application of evidence-based treatment.

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