Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
Seek emergency care for severe trouble breathing, chest pain, fainting, a seizure, new marked confusion, or difficulty waking.
Very little or no urine together with worsening breathlessness or major swelling also warrants emergency assessment.
Contact a healthcare professional promptly for a sudden decrease in urination, new or rapidly worsening swelling, persistent vomiting or diarrhea, inability to keep fluids down, or symptoms of a urinary infection.
New severe weakness or palpitations also need prompt assessment because they can occur with electrolyte problems.
These are different from routine CKD follow-up and should not wait for the next scheduled appointment.
Follow-up usually includes blood pressure checks, eGFR testing, urine albumin testing, and medication review.
The timing depends on CKD severity, how quickly results are changing, and whether treatment has recently changed.
More advanced CKD or higher urine albumin generally requires closer monitoring.
Routine visits are a time to discuss home blood pressure readings, nutrition, medicine safety, vaccinations, pregnancy plans, and ways to reduce cardiovascular risk.
Some medicines require potassium and kidney-function testing after they are started or adjusted.
And for anyone, someone who:
The article also says
A kidney specialist, called a nephrologist, may be involved when the cause is uncertain, kidney function is falling quickly, urine albumin is very high, complications are difficult to manage, or planning for kidney replacement therapy may be needed.
Every sign above is quoted from the sofidex article on Chronic kidney disease. If you are not sure, err upward — it is always reasonable to be checked.