In this Gimme 5 episode, we shift from acute kidney injury (AKI) to its chronic counterpart — chronic kidney disease (CKD). You’ll learn how CKD is defined and staged, how it differs from end-stage renal disease (ESRD), and what that means for nursing care in acute settings.

We’ll also cover how to identify complications, adjust medications safely, and prevent further kidney injury at the bedside. Plus, we’ll highlight when and how to suggest nephrology referral and introduce the supports available through CKD Clinics across Interior Health.

This episode is perfect for nurses who want to feel confident caring for patients with CKD who are not yet on dialysis.

Show Notes:

Referenced Guidelines and Resources:

• BC Renal Agency – Chronic Kidney Disease (CKD) Clinical Resources:
• CKD Common Prescribing Questions for Patients with CKD not on Dialysis
• Renal Analgesic Brochure
• Kidney Care (Non-Dialysis)

• IH Form - Regional Kidney Clinic Physician Referral (plus guidelines) (form #826448)

• Provincial Health Services Authority (PHSA) - BC Renal
• BC Guidelines - CKD Diagnosis and Management
• UptoDate - Patient Survival and Maintenance Dialysis
• Ontario Renal Network - Discussing Prognosis with Patients on Dialysis

Key Takeaways:

• CKD = kidney structure or function abnormal for ≥ 3 months.
• 1 in 10 British Columbians has kidney disease — many undiagnosed.
• Hypertension and diabetes are the top two causes.
• At GFR < 30, many meds require dose adjustment — review with pharmacy.
• Prevent further kidney hits: avoid nephrotoxins, manage fluids carefully.
• Confirm referral to a CKD or Nephrology Clinic before discharge.