Question: ‘Should Vitamin 25(OH)D levels be measured in CKD patients and should this be supplemented in the patients who are already on active vitamin D supplements?’ A primary care colleague asked this excellent question. Vitamin D has been found to have role not only in bone and mineral metabolism but also in a wide range [...]
Archive for the ‘CKD’ Category
Vitamin D supplementation in CKD
Posted in CKD, tagged Vitamin D on March 13, 2010 | Leave a Comment »
ACE in CKD
Posted in CKD on February 10, 2010 | 2 Comments »
Question: How much of an increase in serum creatinine is acceptable in patients who are started on angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs)? ACEIs and ARBS are important drugs in the treatment of patients with chronic kidney disease. In proteinuric CKD, these drugs are used not only for blood pressure control (JNC [...]
Gaodolinium and CKD
Posted in CKD, NSF, tagged CKD, Gaodolinium, NSF on February 3, 2010 | Leave a Comment »
Question: At what creatinine level is it unsafe to give Gadolinium contrast in patients with kidney disease? Can dialysis prevent the complications? Gadolinium based contrasts are widely used for MRI and until recently were considered relative nontoxic and a good alternative to iodinated contrast agents, especially in patients with kidney disease. However in the last [...]
