Chronic renal failure complications

Question 1

CKD mineral / bone disorder

Answer 1

Risk factors:
- CKD, diet, physical activity, sun exposure
Complications e.g. low impact fractures

Investigations:

• Bloods UEC, Phosphate, Calcium, ALP, PTH, Vit D
• DEXA scans

Manage:

• Sunlight
• Low phosphate diet
• Phosphate binders
• Supplementation Vit D/Calcium
• Renal dietician to assist with bolstering diet
• Weight bearing exercise + physiological review
• Consider falls risk e.g. home modifications, optimise vision / gait aids