Vit D treatment in pregnancy

Question 1

Supplementation of Vit D in pregnancy

Answer 1

10 micrograms (400 units) a day

Question 2

Supplementation of vit D in high risk pregnancy

Answer 2

• 1000 units a day
• Women with increased skin pigmentation
• Reduced exposure to sunlight
• Those who are socially excluded
• Obese

Question 3

Supplementation of Vit D for high risk of PET

Answer 3

800 units a day combined with calcium

Question 4

Supplementation of Vit D in sarcoidosis

Answer 4

Inappropriate as there may be sensitivity

Question 5

Supplementation of Vit D in renal disease

Answer 5

• Deficient renal 1-α hydroxylation necessitates the use of active vitamin D metabolites, such as 1α hydroxycholecalciferol or
  1,25-dihydroxycholecalciferol. Specialist medical advice should be sought in such cases.

Question 6

Treatment of vit D in deficient patients

Answer 6

• 4–6 weeks, either with cholecalciferol 20 000 iu a week or ergocalciferol 10 000 iu twice a week, followed by standard supplementation
• Short-term repletion, 20 000 iu weekly