Diferencia entre revisiones de «Hyperphosphatemia»
Sin resumen de edición |
|||
| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
*>4.5 mg/dL | *>4.5 mg/dL<ref>Hawley C. Serum phosphate. Nephrology. Apr 2006. 11(S1):S201-5.</ref> | ||
===Major Causes=== | |||
*Increased phosphate intake (Vitamin D, laxative abuse | |||
*Decreased excretion ([[Renal failure]] | |||
*Transcellular shifts ([[tumor lysis]], [[Rhabdomyolysis]]) | |||
==Diagnosis== | ==Diagnosis== | ||
===Labs==== | |||
Symptoms usually related to associated renal failure, [[hypocalcemia]] or [[hypomagnesemia]] | Symptoms usually related to associated renal failure, [[hypocalcemia]] or [[hypomagnesemia]] | ||
*Metabolic Panel (with calcium, Magnesium, and Phosphorus) | |||
===Signs and Symptoms=== | |||
*Fatigue | |||
*Shortness of breath | |||
*Anorexia | |||
*Nausea | |||
*Vomiting | |||
*Insomnia | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Calciphylaxis]] | *[[Calciphylaxis]] | ||
*Vitamin D intoxication | |||
*[[Tumor lysis]] | |||
*Laxative (Phospho-soda) abuse | |||
*[[Rhabdomyolysis]] | |||
*Hypoparathyroidism | |||
*Pseudohypoparathyroidism | |||
*[[Multiple myeloma]] | |||
==Diagnosis | |||
==Treatment == | ==Treatment == | ||
{{Hyperphosphatemia treatment}} | |||
==References== | |||
==See Also== | ==See Also== | ||
*[[Electrolyte Abnormalities (Main)]] | *[[Electrolyte Abnormalities (Main)]] | ||
[[Category:FEN]] | [[Category:FEN]] | ||
Revisión del 02:29 21 ago 2015
Background
- >4.5 mg/dL[1]
Major Causes
- Increased phosphate intake (Vitamin D, laxative abuse
- Decreased excretion (Renal failure
- Transcellular shifts (tumor lysis, Rhabdomyolysis)
Diagnosis
Labs=
Symptoms usually related to associated renal failure, hypocalcemia or hypomagnesemia
- Metabolic Panel (with calcium, Magnesium, and Phosphorus)
Signs and Symptoms
- Fatigue
- Shortness of breath
- Anorexia
- Nausea
- Vomiting
- Insomnia
Differential Diagnosis
- Calciphylaxis
- Vitamin D intoxication
- Tumor lysis
- Laxative (Phospho-soda) abuse
- Rhabdomyolysis
- Hypoparathyroidism
- Pseudohypoparathyroidism
- Multiple myeloma
==Diagnosis
Treatment
Hyperphosphatemia treatment
- Treat the underlying cause
- Restrict calcium phosphate intake
- IV Normal Saline (if normal renal fx)
- Acetazolamide (500mg IV q6hr) - if normal renal function
- Phosphate Binder - Aluminum hydroxide (50-150mg/kg PO q4-6h) - limited effect
- Dialysis if refractory
References
See Also
- ↑ Hawley C. Serum phosphate. Nephrology. Apr 2006. 11(S1):S201-5.