The CKD Bible

CKD BIBLE

The CKD Bible

From diagnosis to the last day, in the order you need it.

12 chapters · 28 documents · IRIS 2026
A living book. This isn't finished and won't be — IRIS 2026 criteria change, and so does this. Treatments under review today may read differently in a year. Last updated 13 Sep 2026
Part 1 · What to know first
01 The day of diagnosis What to do right now 4
02 Reading the numbers CRE · SDMA · BUN · phosphorus · potassium · HCT · UPC 2
03 Stage and goals IRIS staging · proteinuria and blood pressure substaging 2
04 Saying goodbye Quality of life · pain relief · deciding · afterwards 1
Saying goodbye — measuring quality of life, deciding, and after

Because diagnosis often comes late, some families reach this while still learning. So it sits near the front, not the back.

Part 2 · Managing
05 Feeding Renal diets · phosphorus · protein · moisture · choosing food 2
06 Medications and supplements Binders · adsorbents · antihypertensives · appetite stimulants 5
07 Managing complications Anemia · proteinuria · electrolytes · acidosis · pyelonephritis · stones 5
08 Managing symptoms Uremia · vomiting · poor appetite · gait · pain 2
09 When another disease comes too HCM · pancreatitis · IBD · diabetes · thyroid 1
Part 3 · Walking together
10 Doing it at home Choosing a fluid · subcutaneous fluids · measuring blood pressure 2
11 Getting the most from your vet Recheck intervals · questions · reports · red flags 1
Getting the most from your vet — recheck intervals, tests to ask for, red flags

Planned

The minimum to bring home from every visit When hospitalisation doesn't bring the values down Clinics to avoid vs clinics to choose
12 New treatments Molidustat · AIM · stem cells · transplant 1

Diagnosis and treatment belong with your own vet.