when to start sevelamer

• related: Nephrology, hyperphosphatemia
• tags: #note

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• Correct Ca x phosphorus > 55

Hyperphosphatemia has been clearly shown to play a major role in the pathogenesis of secondary hyper-parathyroidism, extraosseous calcification, and increased mortality risk in hemodialysis patients. Serum phosphorus exceeding 5.5 mg/dL and calcium phosphate product (Ca × P) over 52 mg2/dL2 each correlate with increased mortality risk in dial

hyperphosphatemia

• related: Nephrology, when to start sevelamer
• tags: #nephrology

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Phosphate binders

• source

Dietary restriction of phosphorus, although important, is difficult to accomplish because dialysis patients are encouraged to consume a relatively [[high protein diet]] in order to prevent protein malnutrition. Similarly, ==intermittent hemodialysis alone does not a