Faculty Articles

Evaluation and Management of the Older Adult with Chronic Kidney Disease

Kenya M. Rivas, Nova Southeastern University
Elizabeth Hames
Hady Masri


The medical and economic burden of chronic kidney disease (CKD) is borne disproportionally by the geriatric population. The older kidney is capable of maintaining homeostasis of body fluids and electrolytes but has limited physiologic reserves. Avoidance of nephrotoxic agents is an important aspect of the management of patients with CKD The geriatric population with CKD is at heightened risk for acute kidney injury, which predisposes to worsening CKD. Comprehensive geriatric assessment and shared decision making are vital for determining the appropriate management of older adults with CKD.