Hyperphosphatemia

Hyperphosphatemia

• 1.
  Hyperphosphatemia ICONM GBScN Group Members Uzma Aftab Nimra Tabita Fehmida Farhana Preparedby Uzma Aftab
• 2.
  Hyperphosphatemia “Hyperphosphatemia is oneof the most common causes of morbidity and mortality in individuals with chronic kidney disease”.
• 3.
  Causes Acute OR chronicrenal failure. Long term use of phosphate containing products. Chemotherapy that releases phosphate into blood. Cows milk feeding in infants. Retained phosphorus enemas. Hormonal insufficiency(hypoparathyroidism).
• 4.
  Signs & Symptoms Mostpatients with hyperphosphatemia are asympyomatic they occasionally report hypocalcemic symptoms. Muscle cramps Tetany  Joint pain Renal failure Anuria Hypertension Edema Cardiac arrest
• 5.
  Dietary Intervention If hyperphosphatemiais present restrict dietary phosphate. A ketogenic diet may be helpful but difficult to maintain. Dialysis Glucose and insulin infusions (seldom necessary). Ca supplements.
• 6.
  Conclusion Poor nutrition iscommon in CKD & DH patients and has adverse risk factor. Nutritional counseling – part of approach to CKD and dialysis patients. Routine nutritional screening and assessment should be done for CKD and dialysis patients. Qualified renal dietitian must be included in the staff of every dialysis unit.