Vitamin D is needed during Dialysis – initially only 29 pcnt tested, extensive education raised it to 32 pcnt – May 2020

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Implementing Evidence-Based Vitamin D Protocol in the Dialysis Clinic: An Educational Approach

Nephrol Nurs J . May-Jun 2020;47(3):239-265.
Chigozie Uko 1 2 3, Rose Utley 4 5

Vitamin D deficiency is prevalent among patients with chronic kidney disease (CKD) and even more pronounced in patients with kidney failure who are undergoing peritoneal dialysis and hemodialysis. This project was a nurse practitioner-led quality improvement project conducted in an outpatient hemodialysis unit that focused on determining if educating providers and hemodialysis unit clinical staff on vitamin D guidelines increased the awareness and monitoring of patients on hemodialysis. The number of patients screened for vitamin D levels increased from 29% to 100%,
and 70% of patients tested were deficient in vitamin D. While the follow-up monitoring yielded a result of only 32%, we recommend processes and structures for long-term sustainability, such as periodic re-education, reminders and prompts for conducting needed follow-up, continued outcome monitoring, and champions to support the ongoing processes and structures.
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VitaminDWiki

• Kidney diseases and COVID-19 – probably helped by Vitamin D etc. – Jan 19, 2021
• Chronic Kidney Disease decreases Vitamin D in 4 ways – Nov 2017
• Vitamin D testers have different test results if there is chronic kidney disease – Sept 2019
• More than 30 ng of vitamin D is sometimes needed (Kidney needs 50 ng) – March 2019
  • But many Kidney doctors only consider < 20 ng to be low and are unaware of the importance of fully-activited vitamin D during kidney failure
• Poor kidneys rarely get enough or the right form of vitamin D – Feb 2019

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Kidney category contains

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Overview Kidney and vitamin D contains the following summary

• FACT: The Kidneys are not the primary way to activate vitamin D; the tissues are
• FACT: When the Kidney has problems, there is less active vitamin D (Calcitriol) for the body
• FACT: When the Kidney has problems, there is increased death due to many factors - many of which are associated with lack of Calcitriol
• FACT: There are many ongoing intervention clinical trials trying to determine how much of what kind of vitamin D is needed to treat the problem
• FACT: One Randomized Controlled Trial has proven that Vitamin D treats CKD
• FACT: 38% of seniors have Chronic Kidney Disease and most are unaware of it CDC statistics 2020
• FACT: Taking extra Vitamin D, in various forms, does not cause health problems - even if poor kidney
• Suggestion: Increase vitamin D getting into body now - and increase co-factors so that the vitamin D can be better used
    Sun, UV lamp, Vitamin D supplement - probably > 5,000 IU,
  Nanoemulstion vitamin D (inside cheek, topically) gets activated Vitamin D to the cells without the need for healthy kidney, liver, or intestine
  Calcitriol - which bypasses the need for the kidney to activate vitamin D
    Problems with Calcitriol however: typically only lasts for a few hours, also, possible complications
      Update: Pre-cursor of active vitamin D made from plants is better than calcitriol – Sept 2012
• Category Kidney and Vitamin D contains 238 items

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39+ VitaminDWiki pages with HEMODIALYSIS etc in title

This list is automatically updated