How do you administer HECTOROL IV?

Administer HECTOROL injection intravenously as a bolus dose at the end of dialysis. Inspect HECTOROL injection visually prior to administration; the solution should appear clear and colorless. Do not use if the solution is not clear or particles are present.

How is HECTOROL given during dialysis?

Dosage and administration: The recommended initial dose of doxercalciferol is 10 mcg administered orally, three times weekly at dialysis, or approximately every other day. The initial dose should be adjusted, as needed, in order to lower blood iPTH concentrations in the range of 150 to 300 pg/mL.

When is HECTOROL given during dialysis?

How to use Hectorol Vial. This medication is given by injection into a vein as directed by your doctor, usually 3 times a week (such as Monday, Wednesday, Friday) at the end of dialysis. The dosage is based on your medical condition, laboratory tests, and response to treatment.

Does HECTOROL increase phosphorus?

Doxercalciferol is a man-made form of vitamin D. It works by decreasing PTH levels and increasing calcium/phosphorus levels in the body.

What is injection Doxercalciferol?

Doxercalciferol injection is used to treat secondary hyperparathyroidism (a condition in which the body produces too much parathyroid hormone [PTH; a natural substance needed to control the amount of calcium in the blood] in people receiving dialysis (medical treatment to clean the blood when the kidneys are not …

Does Auryxia cause diarrhea?

Adverse Reactions Advise patients that Auryxia may cause discolored (dark) stools, but this staining of the stool is considered normal with oral medications containing iron. Auryxia may cause diarrhea, nausea, constipation, vomiting, hyperkalemia, abdominal pain, and cough.

What would increase diffusion during dialysis?

A faster dialysis solution flow rate increases the efficiency of diffusion of urea from blood to dialysate.

What is OLC in dialysis?

Abstract. Online clearance (OLC) monitor measures conductivity difference between dialysate entering and leaving the dialyser. Derived ionic dialysance (ID) represents effective urea clearance from which Kt/V is calculated, allowing Kt/V monitoring at every treatment without blood sampling.

What is an important predictor of low serum albumin levels in dialysis patients?

Older age, cause of renal failure, transport status, chronic inflammation, presence of nephrotic syndrome, and nutrition status are important determinants of hypoalbuminemia.

What foods are high in phosphorus?

Phosphorus is found in high amounts in protein foods such as milk and milk products and meat and alternatives, such as beans, lentils and nuts. Grains, especially whole grains provide phosphorus. Phosporus is found in smaller amounts in vegetables and fruit.

What is Doxercalciferol used for?

Doxercalciferol is a synthetic (man- made) form of vitamin D. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body. Doxercalciferol is used to help maintain healthy levels of parathyroid hormone in people with chronic kidney disease who are on dialysis.

What fluid compartment is accessed during hemodialysis?

The dialyzer has two compartments. They are the blood compartment and the dialysate fluid compartment. The dialysate fluid is the fluid that cleans your blood. Your blood enters the dialyzer from the top and flows inside of the membranes.

What’s the maximum dose of Hectorol you can take?

The maximum recommended dose of HECTOROL capsules is 3.5 mcg administered once daily. Prior to raising the dose, ensure serum calcium is within normal limits.

How often should I take Hectorol for PTH?

The dose may be increased at 8-week intervals by 2.5 mcg to achieve the desired therapeutic range of intact PTH. The maximum recommended dose of HECTOROL is 20 mcg administered three times weekly at dialysis for a total dose of 60 mcg weekly.

How often should I take Hectorol for dialysis?

Initiate HECTOROL injection at a dose of 4 mcg given by bolus intravenous administration three times weekly at the end of dialysis (no more frequently than every other day). Target the maintenance dose of HECTOROL to intact parathyroid hormone (PTH) levels within the desired therapeutic range and serum calcium within normal limits.

When is the best time to take Hectorol?

Administer HECTOROL injection intravenously as a bolus dose at the end of dialysis. Inspect HECTOROL injection visually prior to administration; the solution should appear clear and colorless. Do not use if the solution is not clear or particles are present. store opened multiple-dose vial for up to 3 days at 2°C to 8°C (36°F to 46°F).