Monitor Patient

Since the person’s last visit, are any of the following true?

• eGFR < 30 or ACR > 60, or
• Rapid deterioration in kidney function: eGFR < 45 and decline of > 5 ml/min within 6 months in absence of self-limited illness; eGFR must be repeated in 2-4 weeks to confirm persistent decline, or
• 5-year Kidney Failure Risk Equation (KFRE) ≥ 5% (Go to a KFRE calculator; please refer to evidence summary for details on KFRE criterion), or
• Inability to achieve blood pressure (BP) targets, or
• Significant electrolyte disorder, or
• RBC casts or hematuria (> 20 RBC/hpf) suggestive of glomerulonephritis/renal vasculitis