Mild-moderate
KPhos /neutra phos PO
Severe
KPhos 2.5-5mg/kg IV over 6hr
KPhos /neutra phos PO
KPhos 2.5-5mg/kg IV over 6hr
Serum phosphate 1mg/dl to 2mg/dl
Able to take PO
Minimize or eliminate all dextrose-containing IV solutions
Aggressively treat acidosis
1 tab K-phos neutral 250mg Q hour x 5 doses
Each tab contains phosphorus 8 mmol, Na 13 mEq, K1.1 mEq
Recheck serum phosphate after last dose, and repeat dosing if continues to be <2mg/dl
NOT able to take PO
Minimize or eliminate all dextrose-containing IV solutions
Aggressively treat acidosis
Give 15 mmol of IV potassium phosphate over 2.5 hours (contains 22 mEq K)
Peripheral administration may cause burning at injection site
Consider central venous administration, if available
Repeat dosing regimen if serum phosphate remains <2mg/dl
Minimize or eliminate all dextrose-containing IV solutions
Aggressively treat acidosis
1 tab K-phos neutral 250mg Q hour x 5 doses
Each tab contains phosphorus 8 mmol, Na 13 mEq, K1.1 mEq
Recheck serum phosphate after last dose, and repeat dosing if continues to be <2mg/dl
Each tab contains phosphorus 8 mmol, Na 13 mEq, K1.1 mEq
Minimize or eliminate all dextrose-containing IV solutions
Aggressively treat acidosis
Give 15 mmol of IV potassium phosphate over 2.5 hours (contains 22 mEq K)
Peripheral administration may cause burning at injection site
Consider central venous administration, if available
Repeat dosing regimen if serum phosphate remains <2mg/dl
Peripheral administration may cause burning at injection site
Consider central venous administration, if available
Repeat dosing regimen if serum phosphate remains <2mg/dl
Serum phosphate <1mg/dl
Minimize or eliminate all dextrose-containing IV solutions
Exceptions: vasopressors, sedatives, analgesics, antibiotics, blood products, NS
Aggressively treat acidosis
Give 45 mmol of IV potassium phosphate over 7 hours (contains 66 mEq of K)
Peripheral administration may cause burning at injection site
Consider central venous administration, if available
If patient can tolerate PO, ALSO follow steps 1 above
Recheck serum phosphate after infusion
Repeat IV administration if <1mg/dl
Consider oral administration if >1mg and <2mg/dl
Exceptions: vasopressors, sedatives, analgesics, antibiotics, blood products, NS
Peripheral administration may cause burning at injection site
Consider central venous administration, if available
Repeat IV administration if <1mg/dl
Consider oral administration if >1mg and <2mg/dl
Hypophosphatemia
Internal redistribution
Hyperphosphatemia
Refeeding of malnourished
Hypocalcemia
DKA
Hypermagnesemia
Nonketotic hyperglycemia