skip to main content

CKD OSA Bidirectional Relationship — ESENeph MCQ

Instant feedback + full explanation. One question, done properly.

HardChronic Kidney DiseaseCKD OSA Bidirectional RelationshipESENeph

A haemodialysis patient previously received etelcalcetide 10 mg three times weekly but has missed all dialysis treatments and Parsabiv doses for 17 days. Dialysis resumes and corrected calcium is acceptable. What dose should be used?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Restart 5 mg at the end of dialysis and retitrate to the PTH target

Explanation lettering: E = shown as A · A = shown as B · B = shown as C · C = shown as E

E is correct. When Parsabiv doses have been missed for more than two weeks, treatment restarts at 5 mg and is then retitrated; the exception is a patient whose last administered dose was 2.5 mg, who restarts at 2.5 mg. A missed single dialysis session is managed by giving the same dose at the next treatment without replacing missed doses.

Reference: Parsabiv solution for injection SmPC: https://www.medicines.org.uk/emc/product/4417/smpc