I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: General Discussion => Topic started by: aharris2 on September 10, 2007, 05:23:16 AM
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What's the highest level you've ever had? This is a prelude to our appointment with the neph tomorrow.
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1300
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Hope your numbers look good tomorrow.
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What is ipth? My neph didn't have me test for that?!
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N-Intact PTH=920 pg/ml
K/DOQI Clinical Practice Guidelines for Bone Metabolism and Disease in Chronic Kidney Disease
GUIDELINE 8. VITAMIN D THERAPY IN CKD PATIENTS
8B.1 Patients treated with hemodialysis or peritoneal dialysis with serum levels of intact PTH levels >300 pg/mL (33.0 pmol/L) should receive an active vitamin D sterol (such as calcitriol, alfacalcidol, paricalcitol, or doxercalciferol; see Table 28) to reduce the serum levels of PTH to a target range of 150 to 300 pg/mL (16.5 to 33.0 pmol/L). (EVIDENCE)
8B.1a The intermittent, intravenous administration of calcitriol is more effective than daily oral calcitriol in lowering serum PTH levels. (EVIDENCE)
8B.1b In patients with corrected serum calcium and/or phosphorus levels above the target range (see Guidelines 3 and 6, respectively), a trial of alternative vitamin D analogs, such as paricalcitol or doxercalciferol may be warranted. (OPINION)
http://www.kidney.org/professionals/kdoqi/guidelines_bone/guide8b.htm#fig12
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1200.
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1380. Mine's bouncing now - was down to 350, then back to 500, now up to 960. Hopefully, doc will increase my sensipar soon to see if he can get it back down without surgery.