Phosphate

Question 1

Hyperphosphatemia Symptoms

Answer 1

Mostly asymptomatic -> can lead to hypocalcemia

Question 2

Hyperphosphatemia Causes

Answer 2

Advanced CKD
Increased dietary intake
Hypoparathyoridism
Metabolic + Respiratory acidosis

Question 3

Hyperphosphatemia Treatment

Answer 3

Limit dietary intake
Phosphate binders

Question 4

Phosphate binder of choice if calcium level is low

Answer 4

Calcium Acetate

Question 5

Phosphate binder of choice if normal calcium level

Answer 5

Sevelamer-> Calcium carbonate -> Velphoro -> Lanthanum

ONLY TREAT IF SEVERE

Question 6

Hypophosphatemia symptoms

Answer 6

Muscle weakness
Cramps
Arrhythmia
Confusion
Irritability

Question 7

Hypophosphatemia causes

Answer 7

Hyperparathyrodism
DKA
Malnutrition
Alcohol dependence
Vit D deficiency
Refeeding syndrome
Loop diuretics

Question 8

hypophosphatemia Treatment

Answer 8

Moderate: Phosphate sandoz 1-2 TDS

Severe: IV phosphate Polyfusor