Day-to-Day Responsibilities
Assess patients with raised creatinine, protein in urine, high blood pressure or swelling, and order tests such as urine analysis, kidney ultrasound and kidney biopsy.
Diagnose and treat conditions such as chronic kidney disease, acute kidney injury, glomerulonephritis and kidney stones.
Start and manage dialysis, including haemodialysis and peritoneal dialysis, and plan vascular access with surgeons.
Evaluate patients for kidney transplant and manage immunosuppressant medicines after transplant to prevent rejection.
Manage fluid, electrolyte and blood pressure problems, often alongside diabetes and heart care.
Work with dialysis nurses, dietitians and pharmacists on diet, medicines and follow-up plans.
Counsel patients and families on dialysis options, lifestyle and difficult decisions, and teach junior doctors.


