Do you recommend prophylactic post-operative use of an intravenous calcium infusion for patients with ESKD who undergo subtotal parathyroidectomy for secondary hyperparathyroidism?
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What is your approach to calcium management immediately following a parathyroidectomy in an ESKD patient?
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1 Answer
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Nephrology · UCLA
Answered on
Ionized calcium concentration should be monitored closely post-operatively for hungry bone syndrome. Intravenous calcium infusion is indicated if there is a rapid and progressive decrease in the serum ionized calcium level.
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