86 Hyperphosphatemia
BUY
THE CHEAPEST DRUGS ONLINE FROM: DrugstoreOnlineShop.com
Hyperphosphatemia
1. Admit to:
2. Diagnosis: Hyperphosphatemia
3. Condition:
4. Vital signs: qid
5. Activity: Up ad lib
6. Nursing: Inputs and outputs
7. Diet: Low phosphorus diet with 0.7-1 gm/d
8. Special Medications:
Moderate Hyperphosphatemia:
-Restrict dietary phosphate to 0.7-1.0 gm/d.
-Calcium acetate (Phoslo) 1-3 tabs PO tid with meals, OR
-Aluminum hydroxide (Amphojel) 5-10 mL or 1-2 tablets PO before meals tid.
Severe Hyperphosphatemia:
-Volume expansion with 0.9% saline 1-2 L over 1-2h.
-Acetazolamide (Diamox) 500 mg PO or IV q6h.
-Consider dialysis.
9. Extras: CXR PA and LAT, ECG.
10. Labs: Phosphate, SMA 7&12, magnesium, calcium. UA, parathyroid
hormone.
Hypophosphatemia
1. Admit to:
2. Diagnosis: Hypophosphatemia
3. Condition:
4. Vital signs: qid
5. Activity: Up ad lib
6. Nursing: Inputs and outputs.
7. Diet: Regular diet.
8. Special Medications:
Mild to Moderate Hypophosphatemia (1.0-2.2 mg/dL):
-Sodium or potassium phosphate 0.25 mMoles/kg in 150-250 mL of NS or
D5W at 10 mMoles/h.
-Neutral phosphate (Nutra-Phos), 2 tab PO bid (250 mg elemental phospho-
rus/tab) OR
-Phospho-Soda 5 mL (129 mg phosphorus) PO bid-tid.
Severe Hypophosphatemia (<1.0 mg/dL):
-Na or K phosphate 0.5 mMoles/kg in 250 mL D5W or NS, IV infusion at 10
mMoles/hr OR
-Add potassium phosphate to IV solution in place of maintenance KCL; max
IV dose 7.5 mg phosphorus/kg/6h.
9. Extras: CXR PA and LAT, ECG.
10. Labs: Phosphate, SMA 7&12, Mg, calcium, UA.
