Hyperphosphatemia

2. Diagnosis: Hyperphosphatemia

3. Condition:

4. Vital signs: qid

5. Activity: Up ad lib

6. Nursing: Inputs and outputs

7. Diet: Low phosphorus diet with 0.7-1 gm/d

8. Special Medications: Moderate Hyperphosphatemia:

-Restrict dietary phosphate to 0.7-1.0 gm/d. -Calcium acetate (Phoslo) 1-3 tabs PO tid with meals, OR -Aluminum hydroxide (Amphojel) 5-10 mL or 1-2 tablets PO before meals tid. Severe Hyperphosphatemia: -Volume expansion with 0.9% saline 1-2 L over 1-2h. -Acetazolamide (Diamox) 500 mg PO or IV q6h. -Consider dialysis.

10. Labs: Phosphate, SMA 7&12, magnesium, calcium. UA, parathyroid hormone.

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