Mineral and bone disorder in chronic kidney disease part 2

Kidney cartoon 4

 

Management:

Phosphat

  • Dietary restriction of phosphat
  • Use phosphate binders, which bind dietary phosphate to prevent absorption. Commonly used binders are typically calcium-based

 

Calcium

  • If phosphate is controlled, calcium will typically remain in normal range. If the levels is low with normal phosphate level consider vitamin D supplementation
  • Excess calcium administration should be avoided as this may be associated with increased risk of vascular calcification in chronic kidney disease

 

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