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Hyperparathyroidism, hyperphosphatemia and low or normal calcium

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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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