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Flashcards in ckd4 Deck (16):
1

what are goal calcium levels in stage 3-5 CKD

stage 3 and 4 = 8.5-10.5
stage 5 = 8.4-9.5

2

what is the goal phosphorous levels in stage 3-5 CKD

stage 3 and 4 = 2.7-4.6
stage 5 = 5.5

3

what is 1st line tx of CKD MBD

calcium containing K binders

4

what are the doses of sevelamer?
how should it be taken

intitial = 800 mg TID w/ meals
Max 1600 mg TID w/ meals

5

what is decreased by sevelamer

cholesterol

6

what level of Ca-phos product is Sevelamer normally started

>55

7

what mus be evaluated before starting Vit D in CKD?

hyperphosphatemia
hypocalcemia
vit D def.

8

what is best measure of Vit D status

25(OH)D (25-hydroxyvitamin D3)

9

what levels of 25(OH)D are normal, insufficient or deficient?

normal = greater than 30
insufficient = 16=-0
deficient = less than 15

10

what is first line for vit D deficiency in CKD

calcitriol

11

what are two Vit D analogs

Paricalcitol
Doxercalciferol

12

where is doxercalciferol activated

liver

13

when should vit D therapy be started in stage 3-4 CKD?

serum Ca less than 9.5
and Serum P less than 4.6
hold if eith increase above ths

14

what is initial dose of doxercalciferol in stage 3-4 CKD

2.5 mcg 3x's a week

15

what should be monitored in Vit D therapy

calcium
phosphorous
estimated PTH

16

what is calcitriol's initial dose

0.2 mcg daily