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Phosphorus

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Health Care Concepts 2 (Fluid & Electrolytes) Mind Map on Phosphorus, created by Ilana Kovach on 25/02/2017.
Ilana Kovach
Mind Map by Ilana Kovach, updated more than 1 year ago
Ilana Kovach
Created by Ilana Kovach almost 9 years ago
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Resource summary

Phosphorus
  1. Hyperphosphatemia
    1. Causes
      1. Chemotherapy

        Annotations:

        • for lymphoma or Leukemia
        1. Chronic kidney Disease
          1. Excessive Ingestion of Milk, Vitamin D & Phosphate containing Laxatives
            1. Hypoparthyroidism
            2. Signs & Symptoms
              1. Mild (Aspymtomatic)
                1. Hypocalcemia
                  1. Tetany
                    1. Deposition of Calcium-phosphorus precipitates in the skin, soft tissue, Cornea, Viscera & Blood Vessels
                      1. Muscle Cramps, Paraesthesia & Seizure
                      2. Interventions
                        1. Foods/Fluids (Dairy) high in Phosphorus should be restricted
                          1. Calcium Carbonate

                            Annotations:

                            • Phosphate binding agent to limit intestinal absorption. 
                            1. Rapid Interventions
                              1. Hemodialysis
                                1. Insulin & Glucose
                                2. Adequate Hydration (Correct Hypocalcemia)
                                  1. Calcium Supplements
                                    1. Aluminum based antacids
                                      1. Caution Renal Failure
                                  2. Hypophosphatemia
                                    1. Causes
                                      1. Malnourishment or Malabsorption
                                        1. Alcohol Withdrawal
                                          1. Use of Phosphate BInding Antacids
                                            1. Parental Nutrition w/ inadequate phosphorus Replacement
                                            2. Signs & Symptoms
                                              1. Mild Asmptomatic
                                                1. Muscle weakness including (Respiratory muscles)
                                                  1. CNS depression
                                                    1. Confusion, seizures, coma
                                                      1. Pain
                                                        1. Dysrthmias
                                                          1. Myopathy
                                                          2. Intervention
                                                            1. Oral Supplements
                                                              1. Foods High in Phosphorus
                                                                1. Meats, fish, poultry, dairy products, whole grains, seeds & nuts
                                                                2. IV phosphorus

                                                                  Annotations:

                                                                  • Potassium Phosphate or Sodium Phosphate (Serum <1mg/dL) serious
                                                                  1. Monitor Potential complication Hypocalcemia
                                                                    1. Dysrthmias
                                                                      1. Muscle Twitching
                                                                    2. Monitor
                                                                      1. monitor Cardiac
                                                                        1. LOC (Temporary)
                                                                    3. 2.4-4.4mg/dL
                                                                      1. ATP
                                                                        1. Critical: (Low Value Concerns) Moderate 1-2.5 mg/dL (Severe- <1mg/dL)
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