Complications of ESRD : renal osteodystrophy and anemia
In this step, Prof. Chen introduces phosphate binder magnesium containing products and other complications for patients in chronic kidney failure.
Phosphate binder magnesium containing products have the highest binding potency. However, they are associated with direct toxicity to bone (osteomalacia), microcytic anemia, dialysis encephalopathy, and fatal neurologic syndrome.
Therefore, they should be reserved for severe hyperphosphatemia with high serum calcium, or for short term use for acute phase.
When providing calcium supplement as a treatment to hypocalcemia, we need to calculate a calcium and phosphorus label to avoid causing those accumulations.
For renal osteodystrophy, we need to learn the symptoms, goals, and the treatments. Besides, we still need to consider aluminum toxicity and PTH problem.
Ultimately, anemia is a common complication in chronic kidney failure. Due to decreased erythropoietin (EPO) production, the main treatments only have transfusion, EPO therapy, and iron therapy.
Pharmacokinetics: Drug Dosing in Renal Disease
Pharmacokinetics: Drug Dosing in Renal Disease
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