when to hold zemplar?

Our docs want Vit D held for phos greater than/equal to 7.0.

what is your facility policy for zemplar? there is nothing written in our center policy, and i'm confused. one of the md's on the unit wants is pts held if their phospate is over 6.0. the other md's never hold. i spoke to my charge nurse and she is just as confused. also, the package insert only mentions monitoring the pth levels. what would the rational be for looking at the phos?

Ours is calcium-phosphorus product greater than 75. We hold the zemplar.:)

what is your facility policy for zemplar? there is nothing written in our center policy, and i'm confused. one of the md's on the unit wants is pts held if their phospate is over 6.0. the other md's never hold. i spoke to my charge nurse and she is just as confused. also, the package insert only mentions monitoring the pth levels. what would the rational be for looking at the phos?

I would suggest you get a policy and procedure written for administering Zemplar before you get inspected by the DOH.

I don't understand how a facility could be doing this without one written and approved by the medical director!

There should be an bone algorithm in your standing orders. Also, talk with your dietician. They will be an excellent resource person. Plus this is their area of expertise! Use them!