40-year-old female with chronic kidney disease secondary to diabetes mellitus and secondary hyperparathyroidism came for follow-up with no active complaints, investigations: Ca 1.7... 40-year-old female with chronic kidney disease secondary to diabetes mellitus and secondary hyperparathyroidism came for follow-up with no active complaints, investigations: Ca 1.7 mmol/L, Phosphate 1 mmol/L, what would you give for this patient? A- Sevelamer B- Cinacalcet C- Calcitriol 1,25-Dihydroxycholecalciferol D- Vitamin D Supplements Other recall: best form of active vitamin D in CKD
Understand the Problem
The question is asking for the appropriate treatment option for a 40-year-old female patient with chronic kidney disease, diabetes mellitus, and secondary hyperparathyroidism, based on her calcium and phosphate levels. It also hints at recalling the best form of active vitamin D for patients with chronic kidney disease.
Answer
Calcitriol 1,25-Dihydroxycholecalciferol
The final answer is Calcitriol 1,25-Dihydroxycholecalciferol.
Answer for screen readers
The final answer is Calcitriol 1,25-Dihydroxycholecalciferol.
More Information
Calcitriol is a form of active vitamin D that is often used to treat secondary hyperparathyroidism in chronic kidney disease. It helps in increasing calcium absorption and controlling parathyroid hormone levels.
Tips
A common mistake is choosing agents that only manage phosphate levels without addressing the underlying vitamin D deficiency that contributes to secondary hyperparathyroidism.
Sources
- Secondary Hyperparathyroidism - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
- Secondary hyperparathyroidism: symptoms, causes & treatment - kidneyfund.org
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