Final answer:
Treatment for CKD with elevated PTH includes phosphate binders, vitamin D analogs, and potentially calcimimetics, with parathyroidectomy as a last resort for refractory cases.
Step-by-step explanation:
In patients with chronic kidney disease (CKD) and mineral bone disorder characterized by elevated parathyroid hormone (PTH), the recommended treatment focuses on maintaining proper calcium and phosphate balance to mitigate the effects of PTH. Treatment may include the use of phosphate binders to lower phosphate levels, vitamin D analogs or calcitriol to promote calcium absorption, and potentially calcimimetics to lower PTH levels. In severe cases, parathyroidectomy might be considered if there is refractory hyperparathyroidism. It's important to monitor serum calcium and phosphate levels regularly to adjust treatment as needed.