dr9ohm · Kidney-Care Urgency Score

Kidney, dialysis, and transplant
Signals you must not ignore

Quick answer (BLUF): A 0–15 score for symptom density and missed dialysis. Not a CKD-stage diagnosis. Catheter fever, anuria, or surging blood pressure needs care now.
5 core items (0–3) + profile + urgent — not a diagnosis
How to answer
Symptoms: 0/1/2/3 · Other: Yes/No.
NIDDK — Kidney disease · KDIGO ·

Symptom score (Raw Score)
0 / 15
Symptoms answered 0/5 · Profile 0/5 · Urgent 0/5

Part 1 — Core symptoms (scored)

Q1: Missed dialysis / PD sessions
In the past 2 weeks, how much dialysis did you miss or delay?



Q2: Swelling / potassium / breathlessness
How intense are swelling, breathlessness lying flat, or high-potassium fruit intake?



Q3: Catheter / CAPD / fistula
How severe is redness, pus, or pain at the catheter or PD abdomen?



Q4: Transplant / creatinine
After transplant, how concerning are fever, graft pain, or missed immunosuppressants?



Q5: Painkillers / herbs instead of kidney plan
How much do you take NSAID painkillers or herbs instead of the kidney plan?



Part 2 — Profile (not in the 15)

1. Salty sauces, broths, or high-potassium fruit daily despite clinician limits

2. Catheter shift, bleeding, or dressing failure without notifying the unit

3. Diarrhea/vomiting with dehydration after transplant or dialysis

4. Hair loss after transplant without discussing medicines with the team

5. Very high blood pressure, headache, vision change without emergency care

Part 3 — Urgent symptoms (not in the 15)

1. No urine for hours, or swelling rising so fast you cannot breathe

2. Fever, rigors, cloudy PD fluid, or severe abdominal pain during PD

3. Catheter dislodged, spurting blood, or fistula without thrill/bruit

4. Very high blood pressure, severe headache, vision change, seizure

5. Vomiting blood or black stools

0 points
Start assessment

When complete, the score updates — a high score is not a CKD stage

Important notes (Red Flags)

Cloudy PD fluid, fever, dislodged access, air hunger, or surging blood pressure → contact the kidney unit or 1669 now.

What a 0–15 score means

Symptom-density bands — not a diagnosis

ScoreBandMeaningWhat not to do
0–4Not dense yetKeep tracking; do not skip red-flag signalsDo not delay exams because of ads
5–7Starting to recurPlan to see a clinician for this systemDo not add supplements on your own
8–10Clearly disruptiveDo not ignore — book a visitDo not use a quiz instead of a clinic visit
11–15High densityCheck Red Flags nowDo not treat this as a diagnosis

Frequently asked questions

Does this score give my CKD stage?

No. It measures urgency of symptoms and missed dialysis — not eGFR.

Power outage during CAPD — quiz first?

No. Use the unit emergency plan first; the score is a later discussion frame.

Are OTC painkillers OK?

Many are NSAIDs that kidneys tolerate poorly — ask the unit before buying.

Diarrhea after transplant — urgent?

It can cause missed immunosuppressants and dehydration — notify the transplant team; do not wait on a score.

Are low-sodium market sauces always safe?

Some are high in potassium — read labels and follow unit quotas.

Medical Disclaimer: For general education only — not personalized medical advice. Not CKD staging and not a supplement prescription.
Seek care immediately for dangerous signals ·
· Thai twin: https://dr9ohm.com/kidney-care-urgency-score/