Hyperphosphotemia:
Usually the Chronic renal failure patients are the ones you see most commonly with high Phosphorus.
Nephrology evaluation if CKD 3-4.
Dietarty Phosphate Restriction
Phosphate binders include
1. Calcium Based ( Calcium Carbonate/Calcium Citrate/ Calcium Acetate=PhosLo) and
2. noncalcium-, nonaluminum-, nonmagnesium-containing phosphate-binding agents (such as sevelamer HCl=Renagel)
3. Aluminium Hydroxide, Aluminium Carbonate
Hypophosphatemia:
Usually patients with malnutrition from Alcohol Abuse, severe diarrhea, etc are noticed to have low phosphorus.
Potassium or Sodium Phosphate 10-15mmol IV, one or two doses
Neutra-phos PO 1 tab BID or TID
Different hospitals have different formulae. Talk to other hospitalists or the pharmacy.
