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Helical noncontrast-enhanced CT showing calcification involving the left main coronary artery.

Example of Coronary Calcification. Helical noncontrast-enhanced CT showing calcification involving the left main coronary artery. Upper Level Calcium Intake: Adults. IOM website. [1]. Phosphorus in Foods.

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Helical noncontrast-enhanced CT showing calcification involving the left main coronary artery.

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  1. Example of Coronary Calcification Helical noncontrast-enhanced CT showing calcification involving the left main coronary artery.

  2. Upper Level Calcium Intake: Adults IOM website.[1]

  3. Phosphorus in Foods *Many raw meats now contain phosphate additives to enhance their flavor. Phosphorus content may vary depending on the product brand or manufacturer. Sullivan K, et al. J Renal Nutr.2007;17:350-354[3]; NKF. 2014[4]; Kalanter-Zadeh RA, et al. Clin J Am Soc Nephrol 2010;5:519-530[5]; Sherman RA, et al. Clin J Am Soc Nephrol. 2009;4:1370-1373.[6]

  4. Phosphate Binders Commonly Used to Manage Hyperphosphatemia in Patients With CKD *Prolonged administration may increase the risk for aluminum intoxication. †May increase risk of soft-tissue calcification. KDIGO. CKD-MBD Work Group. Kidney Int. 2009;76:S1-S130.[2]

  5. Patient Education Resources Sources (clockwise from left): Medscape Education[7]; USDHHS. 2009. Reproduced with permission.[8]; NKDEP. 2012. Reproduced with permission.[9]; NKDEP. 2010. Reproduced with permission.[10]

  6. Making Food Choices • Convenience and fast foods often contain phosphorus additives • The breading on many fried foods may substantially increase phosphorus content • Dietitians should work closely with patients to help them make appropriate food choices Sullivan K, et al. J Renal Nutr.2007;17:350-354.[3]

  7. P-H-O-S-phorus-containing Food Additives Common in Processed, Preserved, or Enhanced Foods and Soft Drinks • Dicalcium phosphate • Disodium phosphate • Monosodium phosphate • Phosphoric acid • Sodium hexameta-phosphate • Sodium tripolyphosphate • Tetrasodium pyrophosphate • Trisodiumphosphate Kalanter-Zadeh RA, et al. Clin J Am Soc Nephrol 2010;5:519-530[5]

  8. Motivational Interviewing: Steps for Success • Engage the patient • Build rapport • Partner to set goals • Identify barriers to change • Support self-efficacy • Affirm successes Martino S. Blood Purif. 2011;31:77-81.[13]

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