How is acute hyperphosphataemia treated in adults?

Source: Leeds Medicines Information Centre Area: Evidence > Medicines Q & A There are no national guidelines for the treatment of acute hyperphosphataemia, and practice varies widely between hospital Trusts. The guidance in this Medicines Q&A reflects practice at Leeds Teaching Hospitals NHS Trust. The cause of the hyperphosphataemia should be established and treated. Most patients with hyperphosphataemia are asymptomatic. If symptoms are present, they are usually reflective of underlying contributory pathologies. Acute severe hyperphosphataemia with symptomatic hypocalcaemia can be life-threatening and dialysis may be required in this situation. Discontinue all exogenous sources of phosphate, ensure the patient is well hydrated and manage other electrolyte disturbances or hypotension as clinically indicated. If serum phosphate concentrations are still elevated, phosphate binders may be required. Continue to monitor urea and electrolytes, paying careful attention to serum phosphate and calcium concentrations.
Source: NeLM - Medicines Q and A - Category: Drugs & Pharmacology Source Type: news