Patient Scenario: Desired PTH, phosphate & low or normal calcium
Assessing the Clinical and Laboratory Parameters
A patient who falls into this category has optimal management based on current knowledge. It is important to note that patients values tend to vary from month to month particularly with serum phosphate. Therefore, ongoing counseling is indicated.
Aproximately 6% of all patients are in this category.
No change is indicated in the dialysis prescription providing the patient meets criteria for adequacy of dialysis. A patient who is transferred to daily nocturnal hemodialysis will likely require adjustment in medication which may include addition of phosphate to the dialysate.