Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + • Elevated serum phosphorus +++ Epidemiology + • Renal insufficiency• Post-trauma• Marked tissue catabolism• Excess intake (rarely) +++ Symptoms and Signs + • Usually asymptomatic +++ Laboratory Findings + • Elevated serum phosphorus• Decreased serum calcium + • In perioperative or post-trauma setting, almost always associated with renal insufficiency, even when other factors also present + • Serum electrolytes• ABG measurements + • Diuresis• Phosphate binding antacids• Dialysis +++ Medications + • Diuretics• Phosphate binding antacids (aluminum hydroxide) +++ Treatment Monitoring + • Serum electrolytes +++ Prognosis + • Excellent +++ References ++Klahr S et al. Acute renal failure. N Engl J Med. 1998;338:671. [PubMed: 9486997] ++Frazao JM. Adragao T. Treatment of hyperphosphatemia with sevelamer hydrochloride in dialysis patients: effects on vascular calcification, bone and a close look into the survival data. Kidney International - Supplement. 2008, (111):S38-43. Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth