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Vitamine D

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Casus<br />

• Vrouw 69 jaar<br />

• Geschiedenis: DMII, hemodialyse sinds 3<br />

maanden<br />

• Fosfaat, Calcium en PTH zijn bepaald<br />

• Lab:<br />

– Creat 870 mcmol/l (9.8 mg/dl)<br />

– Fosfaat 2.2 mmol/l (6.8 mg/dl)<br />

• Vraag<br />

– Hoe behandelt men hyperfosfatemie?<br />

• Opleiding<br />

• Verbeteren dialyse effectiviteit<br />

• Fosfaatbinders

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