XV. Referral Plan patients with a Referral to a nephrologist is generally recommended for cute kidney failure "persistent estimated glomerular filtration rate less than 30 mL/min/1.73 m2, progressive decline of kidney function, ratio of urine protein to creatinine greater than 100 mg/mmol (about 900 mg/24 h) or urine albumin to creatinine ratio greater than 60 mg/mmol (about 500 mg/24 h), inability to achieve treatment targets, or rapid changes in kidney function." (Levin, 2008)
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Alleman, Kim (2012) Health Promotion, Disease Prevention and Chronic Kidney Disease. Kidney times. Easylink Access #100. Retrieved from: http://www.kidneytimes.com/article.php?id=20070205195039
Guidance for Industry: Pharmokinetics in Patients with Impaired Renal Function - Study Design, Data Analysis, and Impact on Dosing and Labeling. U.S. Department of Health and Human Servicing. Clinical Pharmacology. 2010. Mar. Retrieved from:http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM204959.pdf
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