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This page is for primary care and other physicians who might make referrals to a renal unit. eGFR reporting introduced in Lothian and Borders - information on interpreting eGFR, and when to seek advice and refer. Specific management guidelines are available on CKD management as well as on several other topics, see below. |
Management guidelines |
| Referrals | |
| Referral guide, proforma | |
| Contact info |
WHEN TO REFER? Read the guide here.
| ACE inhibitors; how to start | Which, how, what tests to do, and what if they change. |
| Blood pressure targets in renal disease | Explaining the targets that we set and why, from the EdREN Handbook. |
| Chronic renal failure (CRF or CKD) - management of patients with reduced GFR | Guidance for general practitioners and other physicians. |
| eGFR | What it is, with links |
| How to start an ACE inhibitor | Which, how, what tests to do, and what if they change. |
| Haematuria - microscopic | When to refer, long term observation recommendations. |
| Haematuria - macroscopic | How and when to refer. |
| Haemodialysis patients, short quide | For non-specialist doctors and other staff; including 'the sick dialysis patient' |
| Peritoneal dialysis patients, short guide | For non-specialist doctors and other staff; including 'the sick PD patient' |
| Proteinuria | When to refer, long term observation recommendations. |
| Renal impairment - management of patients with reduced GFR | Guidance for general practitioners and other physicians. |
| Transplant patients, short guide | For non-specialist doctors and other staff; including 'the sick transplant patient' |
| When to refer to the renal unit | Guidance for general practitioners and other physicians. |
These guidelines have for the most part been developed internally, with reference to any evidence that can be obtained. References to other relevant information will be found within individual guidelines.
NOTE: These guidelines assume medical knowledge, they are not written primarily for patients. However relevant pages of EdRenINFO are linked from the guidelines where possible.
When to refer - guidance based on the 2005 UK draft guidelines and other evidence.
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IMMEDIATE REFERRALS
Immediate referrals of local patients to the Edinburgh unit should be made by calling the on-call renal registrar. See urgent contact details below.
URGENT REFERRALS
Urgent referrals should be made by fax, or telephone followed by fax. Electronic mechanisms will be very useful when available. See urgent contact details below.
ROUTINE REFERRALS
Letter to Department - "Dear Doctor" (may wait shorter time) or named consultant. We will generally allocate a referral to the most local clinic, or to a special interest clinic if appropriate, or to that with the shortest wait. See general contact details. See useful information to send with referrals
EMAIL AND TELEPHONE CONSULTATION
A secure email consultation service is available at rie.renaladvice@luht.scot.nhs.uk. It is intended for doctors seeking advice on patients from Lothian and should usually be accessed from within NHSnet (from email addresses ending .scot.nhs.uk). We aim to respond to queries within 2 to 3 working days.
GPs and other physicians can discuss potential referrals with a consultant by telephone (see contact details).
ENQUIRIES ABOUT EXISTING PATIENTS OF THE UNIT
| General nephrology | Contact the patient's consultant, by email/ fax/ phone. See general contact details |
| Dialysis patients | Are seen regularly. Many problems can be dealt with by calling the patient's dialysis unit. Arrange extra review with the patient's consultant or with their dialysis unit. See general contact details. In an emergency call the Renal Registrar as below. |
| Transplant patients | Established patients will have a regular outpatient consultant who will be the usual first contact. See general contact details. For urgent information about recent inpatients, speak to the Renal Transplant Registrar via hospital switchboard 0131 536 1000, bleep 5285 (out of hours, the Renal Registrar). |
URGENT CONTACTS
OUT OF HOURS all referrals should go to the Renal Registrar via the RIE switchboard, 0131 536 1000, bleep #6394. Do the same if you are unable to contact the right person during working hours using the other routes listed below.
| Acute
renal failure General nephrology |
Call the Renal Registrar via the RIE switchboard, 0131 536 1000, bleep #6394 |
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EdRenINFO contains information about kidney diseases for patients, doctors and all medical staff.
The EdRenHANDBOOK contains information aimed primarily at hospital doctors about immediate management of renal problems.
Contact us at renal@ed.ac.uk if you would like to comment on the content of these pages. This page was updated on
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