Treatment goals for changes in bone and mineral metabolism in progressive kidney disease

What are the treatment goals for changes in bone and mineral metabolism in the patient with progressive kidney disease?

The treatment goals for a patient with derangements in bone and mineral metabolism are focused on maintaining serum calcium and phosphorous within the normal range.

With regard to PTH, current treatment guidelines suggest initiating therapy when the serum PTH is progressively rising and remains persistently greater than the upper limit of normal for the assay.

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