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Hyperparathyroidism, hyperphosphatemia and low or normal calcium


Assessing the Clinical and Laboratory Parameters


The parathyroid glands are overactive. This may be due to the presence of the hyperphosphatemia, or to the fact the calcium is low (or a combination of both). Prior values (where available) should indicate the responsiveness of the PTH levels to fluctuations in calcium

Approximately 20% of all patients are in this category.


Therapeutic Options:


Dialysis Prescription

Dialysis Prescription

Significant prolongation of dialysis times (nocturnal dialysis) may bring about reduction in phosphate and help control calcium levels.  Daily intermittent dialysis up to 5 hours may have little effect. There is no advantage to changing the dialysate bath in this situation.


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