ms phosphorus imbalance

2.7-4.5 mg/dL

nv: phosphate

phosphate

responsible for bone impede formation

• malnourished

• respiratory alkalosis

• low ph in diet

• chron’s disease

• celiac disease

• chronic diarrhea

• vit d deficiency

• antacids

causes of hypophosphatemia

chron’s disease

inflammatory bowel

celiac disease

• high sensitivity to gluten

• causes a villus atrophy

• neurological symptoms

• muscle weakness & pain

• bone pain

• high parathyroid hormone

manifestations of hypophatemia

• confusion

• altered loc

neurological symptoms of hypophosphatemia

• prevention

• monitor blood phosphorus level

• phosphorus replacement

• burosumab

• monitor extravasation

mngmnt for px with hypophosphatemia

burosumab

corrects congenital hypophosphatemia

milk, organ meats, fish, poultry

diet for px with hypophosphatemia

phosphorus, vit d, calcium level

important things to monitor in px with hypophosphatemia

• kidney injury

• High phosphorus intake

• High vitamin D

• Low calcium

Cause of hyperphosphatemia

• soft tissue calcification

• tetany

• prolonged st & qt

• ventricular tachycardia

manifestations of hypophosphatemia

• treat underlying disorder (kidney injury)

• vit d preparations

• calcium

• loop diuretics

• iv fluids

• dialysis

• avoid diary products

mngmnt for hyperphosphatemia

aluminum hydroxide (amphojel)

phosphate binder

dialysis

last resort management for hyperphosphatemia