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HYPOPHOSPHATEMIA: Risk Factors
Vitamin D deficiency |
Refeeding after starvation |
Alcohol use disorder |
DKA |
Alkalosis |
Hypomagnesemia |
Hypokalemia |
Excessive loss of body fluids (sweat, diarrhea, vomiting, hyperventilation) |
Burns |
TPN |
Overuse of antacids |
HYPOPHOSPHATEMIA: Manifestations
Paresthesias |
Muscle weakness |
Bone pain & deformities |
Chest pain |
Confusion |
Seizures |
Nystagmus |
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HYPOPHOSPHATEMIA: Interventions
Oral phosphate replacement |
Careful IV administration of phosphorus (for severe cases) |
Gradual introduction of solution for pts on TPN |
Protection from infection |
Dietary management & education |
Seizure precautions |
HYPERPHOSPHATEMIA: Risk Factors
Renal failure |
Chemotherapy |
Acute pancreatitis |
High vitamin D |
High phosphorus intake |
Hypoparathyroidism |
Excessive enema use |
Acidosis |
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HYPERPHOSPHATEMIA: Manifestations
Tetany |
Cramps |
Paresthesias |
Dysrhythmias |
Trosseau's sign |
Chvostek's sign |
Hyperreflexia |
Anorexia |
Nausea |
Vomiting |
Soft tissue calcifications |
HYPERPHOSPHATEMIA: Interventions
IV normal saline |
Medications: |
Dialysis |
Vitamin D |
Dietary management & education |
Aluminum hydroxide |
|
Diuretics |
Phosphorus has an inverse relationship with calcium
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