In patients with chronic kidney disease, what should be monitored on a regular basis?

In patients with chronic kidney disease (CKD), it is essential to regularly monitor serum creatinine and electrolytes. Serum creatinine is a key marker for kidney function; elevated levels can indicate a decline in renal function. Monitoring this allows healthcare providers to assess the progression of kidney disease and make timely interventions to slow or manage the condition.

Furthermore, electrolyte levels, including potassium, sodium, and phosphorus, are also critical to monitor in CKD patients. The kidneys play a vital role in maintaining electrolyte balance, and impaired renal function can lead to abnormalities such as hyperkalemia, which can have serious cardiovascular implications. Regular monitoring of these parameters helps manage potential complications related to electrolyte imbalances, ensuring that patients receive appropriate treatment when necessary.

While blood glucose levels are important for managing diabetes and its complications, they are not specifically a focus in monitoring for CKD unless the patient has diabetes. Liver enzyme monitoring is more relevant to liver function and would not be prioritized in CKD management. Complete blood counts can be helpful in assessing anemia or infection but are not as directly linked to the progression or management of kidney disease as serum creatinine and electrolytes are.