Question

Which drugs will be used to treat the patient with CKD for mineral and bone disorder (select all that apply)?

a. Cinacalcet (Sensipar)
b. Sevelamer (Renagel)
c. IV glucose and insulin
d. Calcium acetate (PhosLo)
e. IV 10% calcium gluconate

Answer 1

For the treatment of mineral and bone disorders in patients with CKD, the appropriate medications include Cinacalcet (Sensipar), Sevelamer (Renagel), Calcium acetate (PhosLo), and IV 10% calcium gluconate.

Step-by-step explanation:

The drugs used to treat a patient with Chronic Kidney Disease (CKD) for mineral and bone disorder include:

• Cinacalcet (Sensipar): Helps lower the levels of parathyroid hormone, which plays a role in managing calcium and phosphorus levels.
• Sevelamer (Renagel): Prevents the absorption of phosphate and thus helps manage phosphorus levels in the body.
• Calcium acetate (PhosLo): Binds to phosphate in the gut, reducing phosphate levels in the blood.
• IV 10% calcium gluconate: Given in cases of hypocalcemia, it helps raise serum calcium levels.

Drugs such as IV glucose and insulin or other diuretics like Furosemide (Lasix) are not directly used for treating mineral and bone disorders in CKD. However, diuretics can be used for managing hypertension or fluid overload often associated with CKD. Although bisphosphonates are used for managing osteoporosis, they are not typically used within CKD treatment for mineral and bone disorders.