Are there instances when you would prescribe a phosphate binder to an ESKD patient on hemodialysis who has a phosphorus level in the target range of less than 5.5 mg/dL?

Some dialysis units have an algorithm for phosphate management which recommends giving a binder to patients with a phosphate level above 4.5 but less than 5.5.

Answer from: at Academic Institution

Yes. If the serum phosphorus is increasing and the trend would suggest >5.5 soon. If the patient has history of calciphylaxis. I am sure there are other instances also.

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Are there instances when you would prescribe a phosphate binder to an ESKD patient on hemodialysis who has a phosphorus level in the target range of less than 5.5 mg/dL?

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