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 select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process 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 Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.