E-Consults
E-consults are for focused provider-to-provider communications regarding clinical questions that a nephrologist can answer using solely the information available in EPIC, without seeing the patient. In addition to providing quick guidance to requesting providers, E-Consults serve to decrease clinic wait time for new patient referrals and allow faculty to focus on preferred diagnoses that align with areas of specific interest and expertise in clinic.
E-Consults may take up to five business days for a response.
E-consults (electronic consults) are available to any UNC Health physician or advanced practice provider. At present, E-consults are not available to providers outside the UNC Health System.
E-consults are not for logistical questions or for questions that can be easily answered by consulting UpToDate or published clinical guidelines. E-consults should not be used for urgent, emergent or acute care questions. Additionally, E-consults should not be used to ask follow-up questions for patients who have been previously seen by providers in our practice.
Conditions Appropriate for Nephrology E-Consult
- eGFR 45–60 ml/min/1.73m2 and/or UACR 30-299 mg/g (with comorbid DM). Review CKD management goals and CKD carepathways.
- eGFR 30–60 ml/min/1.73m2 and/or UACR 30-299 mg/g (without comorbid DM). Review CKD management goals and CKD carepathways.
- Minor electrolyte abnormalities. Review hyperkalemia management.
- Use of SGLT2i in CKD. Review guidelines.
- Risk of use of Iodine or Gadolinium-based contrast in CKD
- Medications use in CKD
- Perioperative medications management with CKD
- Hyperuricemia/Gout and CKD
- Use of Cystatin C vs. Creatinine vs. measured GFR estimation
- Hypertension – uncontrolled on < 3 medications
- CKD stage II in pregnancy (eGFR > 60ml/min prior to pregnancy or Cr < 1.0mg/dl before 20 weeks)
- Proteinuria less than 0.5g by 24hr urine or urine protein-to-creatinine ratio in pregnancy