Zillich Alan J, Saseen Joseph J, Dehart Renee M, Dumo Peter, Grabe Darren W, Gilmartin Cheryl, Hachey David M, Hudson Joanna Q, Pruchnicki Maria C, Joy Melanie S
Purdue Pharmacy Programs, Purdue University School of Pharmacy, Indianapolis, Indiana 46202, USA.
Pharmacotherapy. 2005 Jan;25(1):123-43. doi: 10.1592/phco.25.1.123.55628.
An increasing number of patients are developing chronic kidney disease (CKD). Appropriate care for patients with CKD must occur in the earliest stages, preferably before CKD progresses to more severe stages. Therefore, recognition and treatment of CKD and its associated complications must occur in primary care settings. Patients with CKD often have comorbid conditions such as diabetes mellitus, hypertension, and dyslipidemia, creating specific considerations when treating these diseases. Also, these patients have CKD-related conditions, including anemia and renal osteodystrophy, that are not traditionally evaluated and monitored by the primary care practitioner. Collectively, many opportunities exist for pharmacists who practice in the primary care setting to improve the care of patients with CKD.
越来越多的患者正在患上慢性肾脏病（CKD）。对CKD患者的恰当护理必须在疾病的最早阶段进行，最好是在CKD进展到更严重阶段之前。因此，对CKD及其相关并发症的识别和治疗必须在初级保健机构中进行。CKD患者通常伴有合并症，如糖尿病、高血压和血脂异常，在治疗这些疾病时需要特别考虑。此外，这些患者还患有与CKD相关的病症，包括贫血和肾性骨营养不良，而初级保健医生传统上并不对其进行评估和监测。总体而言，在初级保健机构工作的药剂师有很多机会改善CKD患者的护理。
