Skip to main content

Hyperparathyroidism, hypophosphatemia & low or normal calcium

doc_thinking

Assessing the Clinical and Laboratory Parameters

 

This is an unusual combination, with several possibilities;

  1. True vitamin D deficiency (i.e. measure serum 25 OH D).
  2. Diet and phosphate binder dosing are associated with malnutrition.
  3. Consider direct suppression of PT glands with either active vitamin D analogues or calcimimetics (expensive)

Less than 1% of all patients are in this category.

 

Dialysis Prescription

Dialysis Prescription

If technically simple, consider increasing dialysate calcium by 0.25 – 0.50 mmol/L (0.50-1.00 mEq/L).

 

 

 

Return to bone and mineral resource home

ukidneyisup