First step after CKD indicates.

When chronic kidney disease (CKD) is indicated, the first step is to determine the underlying cause and stage of the disease. CKD is a progressive condition where the kidneys gradually lose their ability to function properly over time. The staging of CKD is typically based on the estimated glomerular filtration rate (eGFR) and the presence of kidney damage.

After a diagnosis of CKD, the following steps are usually taken:

1. Consultation with a healthcare professional: Speak with a nephrologist (kidney specialist) who will evaluate your condition, review your medical history, and conduct a physical examination. They will assess the stage of CKD, identify any underlying causes, and develop a treatment plan.

2. Laboratory tests: Several blood and urine tests may be ordered to assess kidney function and identify possible causes. These tests include measuring creatinine, blood urea nitrogen (BUN), eGFR, urine albumin-to-creatinine ratio (ACR), and electrolyte levels.

3. Imaging tests: Imaging studies such as ultrasound, CT scan, or MRI may be performed to evaluate the structure of the kidneys and identify any abnormalities or blockages.

4. Identifying and managing underlying causes: Depending on the specific cause of CKD, additional tests or consultations with other specialists may be necessary. For example, if diabetes or hypertension is identified as contributing factors, a primary care physician or endocrinologist may be involved in managing these conditions.

5. Lifestyle modifications: Adopting a healthy lifestyle can help slow the progression of CKD. This includes maintaining a balanced diet, controlling blood pressure and blood sugar levels, managing weight, quitting smoking, and limiting alcohol consumption.

6. Medications: Medications may be prescribed to manage underlying conditions, control symptoms, and slow the progression of CKD. Common medications include angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) to control blood pressure and reduce proteinuria.

7. Regular monitoring: Regular follow-up appointments will be scheduled to monitor kidney function, adjust treatment plans if necessary, and assess any potential complications or comorbidities associated with CKD.

It's important to note that the specific steps and treatment plan may vary depending on the individual's situation, the stage of CKD, and any underlying causes or comorbidities. It's crucial to work closely with healthcare professionals to develop an appropriate management strategy for CKD.