Certified Dialysis Nurse Practice Test

Not monitoring calcium levels in dialysis patients can lead to an increased risk of fractures. Calcium plays a critical role in bone health and overall physiological functions. In dialysis patients, abnormalities in calcium levels can occur due to kidney dysfunction, which disrupts the body's ability to balance minerals effectively. When calcium levels are not monitored and adequately managed, it can result in either hypercalcemia (excess calcium) or hypocalcemia (low calcium), both of which can have detrimental effects on bone density.

Hypocalcemia, for example, can lead to increased bone resorption, where the body breaks down bone tissue to release calcium into the bloodstream, ultimately weakening bones and increasing the risk of fractures. Conversely, hypercalcemia can lead to calcification of soft tissues and complications such as bone pain and fractures. Therefore, regular monitoring of calcium is essential to maintain bone health and reduce the risk of skeletal complications in dialysis patients.