This case study focuses on a patient with chronic kidney disease (CKD) with mineral and bone disorders (MBD) and the relationship and management strategies used in treating CKD-MBD. The various risks and issues pertaining to the CKD stage 5 patient population are addressed, including
CKD-MBD and renal osteodystrophy. Proper management of CKD-MBD with diet, dialysis, laboratory testing, and medications is discussed. An interdisciplinary team that includes the patient and family is crucial for effective management of MBD. Abbreviations: CKD = Chronic kidney disease,
KDIGO = Kidney Disease Improving Global Outcomes, MBD = Mineral and bone disorders, NKF-KDOQI = National Kidney Foundation Kidney Disease Outcomes Quality Initiative, PTH = Parathyroid hormone, RO = Renal osteodystrophy, VDR = Vitamin D receptor.
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