Skip to Main Content

We have a new app!

Take the Access library with you wherever you go—easy access to books, videos, images, podcasts, personalized features, and more.

Download the Access App here: iOS and Android

Hyperphosphatemia

  • • 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.

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.

This site uses cookies to provide, maintain and improve your experience. MH Privacy Center Close