Secondary Hyperparathyroidism - Conditions Caused by Chronic Kidney Failure

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• Overproduction of parathyroid hormone (PTH) by the parathyroid gland in the neck
• Calcitrol - active form of Vitamin D. A hormone produced by healthy kidneys.
• Having less calcium triggers the parathyroid gland to release PTH. PTH controls calcium and phosphorus levels in the blood.
• In time the parathyroid glands grow so large they can't shut off. - secondary parathyroidism

Treatment
• Phosphate binders to remove excess phosphorus
     • PhosLo® - calcium acetate
     • Renagel® - sevelarner HC1
• To increase serum calcium and decrease PTH
     • Zemplar® (paracalcitol)
     • Hectorol® (doxercaleiferol)
     • Calcijex® (calcitriol)
• To reduce PTH, serum calcium, and phosphorus
     • Sensipar®(cinacalcetHCI


Your Role In Secondary Hyperparathyroidism Management
• Listen well and report symptoms that patients tell you they have
• Reinforce what the doctor, nurses, and dietitian teach patients.
• Tell the nurse if patients report problems with the drugs they take to treat the disease.
• Urge patients to take medications as prescribed and to follow their diets.

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