Phosphorus

Phosphorus

Hyperphosphatemia
1. Causes
  1. Chemotherapy
    Nota:
    - for lymphoma or Leukemia
  2. Chronic kidney Disease
  3. Excessive Ingestion of Milk, Vitamin D & Phosphate containing Laxatives
  4. Hypoparthyroidism
2. Signs & Symptoms
  1. Mild (Aspymtomatic)
  2. Hypocalcemia
  3. Tetany
  4. Deposition of Calcium-phosphorus precipitates in the skin, soft tissue, Cornea, Viscera & Blood Vessels
  5. Muscle Cramps, Paraesthesia & Seizure
3. Interventions
  1. Foods/Fluids (Dairy) high in Phosphorus should be restricted
  2. Calcium Carbonate
    Nota:
    - Phosphate binding agent to limit intestinal absorption.
  3. Rapid Interventions
    1. Hemodialysis
    2. Insulin & Glucose
  4. Adequate Hydration (Correct Hypocalcemia)
  5. Calcium Supplements
  6. Aluminum based antacids
    1. Caution Renal Failure
Hypophosphatemia
1. Causes
  1. Malnourishment or Malabsorption
  2. Alcohol Withdrawal
  3. Use of Phosphate BInding Antacids
  4. Parental Nutrition w/ inadequate phosphorus Replacement
2. Signs & Symptoms
  1. Mild Asmptomatic
  2. Muscle weakness including (Respiratory muscles)
  3. CNS depression
  4. Confusion, seizures, coma
  5. Pain
  6. Dysrthmias
  7. Myopathy
3. Intervention
  1. Oral Supplements
  2. Foods High in Phosphorus
    1. Meats, fish, poultry, dairy products, whole grains, seeds & nuts
  3. IV phosphorus
    Nota:
    - Potassium Phosphate or Sodium Phosphate (Serum <1mg/dL) serious
    1. Monitor Potential complication Hypocalcemia
      1. Dysrthmias
      2. Muscle Twitching
  4. Monitor
    1. monitor Cardiac
    2. LOC (Temporary)
2.4-4.4mg/dL
ATP
Critical: (Low Value Concerns) Moderate 1-2.5 mg/dL (Severe- <1mg/dL)

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	Creado por Ilana Kovach hace casi 8 años