Hyperphosphatemia in chronic kidney disease (CKD)
- Restrict excess dietary phosphate additives
- Dialysis adequacy matters in ESKD
- Add phosphate binder with meals if persistent
- Calcium binders: hypercalcemia/vascular concerns
- Sevelamer avoids calcium load
- Ferric binders can also provide iron
- Treat overall CKD-mineral/bone disorder
Use at a glance
- Restrict excess dietary phosphate additives
Practical pearls
- Dialysis adequacy matters in ESKD
- Calcium binders: hypercalcemia/vascular concerns
- Ferric binders can also provide iron
- Treat overall CKD-mineral/bone disorder
Choosing treatment
- Add phosphate binder with meals if persistent
Safety / pitfalls
- Sevelamer avoids calcium load
Self-check
- Which dietary component is restricted in CKD hyperphosphatemia?
Excess dietary phosphate additives. - Which phosphate binder avoids calcium load?
Sevelamer.
Drugs used for this (5)
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