PMID: 16639067Apr 28, 2006Paper

A new graduated dosing regimen for phosphorus replacement in patients receiving nutrition support

JPEN. Journal of Parenteral and Enteral Nutrition
Kaleb A BrownRex O Brown

Abstract

Hypophosphatemia is a common metabolic complication in patients receiving specialized nutrition support. We changed our previously reported dosing algorithm because the low dose no longer appeared to be effective at increasing serum phosphorus concentrations. The purpose of this study was to evaluate the safety and efficacy of a revised weight-based phosphorus-dosing algorithm in critically ill trauma patients receiving specialized nutrition support. Seventy-nine adult trauma patients with hypophosphatemia (serum phosphorus concentration < or = 0.96 mmol/L) receiving nutrition support received an IV dose of phosphorus on day 1 according to the serum concentration of phosphorus: 0.73-0.96 mmol/L (0.32 mmol/kg, low dose), 0.51-0.72 mmol/L (0.64 mmol/kg, moderate dose), and < or = 0.5 mmol/L (1 mmol/kg, high dose). The IV phosphorus bolus dose was administered at 7.5 mmol/hour. Generally, patients with a serum potassium concentration <4 mmol/L received potassium phosphate and patients with a serum potassium concentration > or = 4 mmol/L received sodium phosphate. Patients who still had hypophosphatemia on day 2 were dosed using the new dosing algorithm by the nutrition support service according to that day's serum concentration of...Continue Reading

References

Nov 1, 1979·The American Journal of Medicine·R J WinterO C Green
Dec 1, 1978·Annals of Internal Medicine·J R Darsee, D O Nutter
Jan 1, 1976·Nephron·D W Cockcroft, M H Gault
May 1, 1992·The American Journal of Medicine·P C SinghalJ Mattana
Oct 1, 1991·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·S J Miller, J Simpson
Jan 1, 1990·JPEN. Journal of Parenteral and Enteral Nutrition·S M Solomon, D F Kirby
Nov 1, 1990·Critical Care Medicine·W H DailyS J Allen
Jan 1, 1988·Annual Review of Nutrition·Y N Berner, M Shike
Aug 15, 1985·The New England Journal of Medicine·M AubierR Pariente
Jan 29, 1972·British Medical Journal·M G Betro, R W Pain
Feb 22, 1968·The New England Journal of Medicine·M LotzF C Bartter
Nov 1, 1983·Southern Medical Journal·J B VannattaS Papper
Sep 1, 1982·JPEN. Journal of Parenteral and Enteral Nutrition·R L WeinsierC E Butterworth
Nov 27, 1980·The New England Journal of Medicine·R A DeFronzo, R Lang
Jun 1, 1994·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·G S SacksR O Brown
Jul 13, 2000·Critical Care Medicine·K H PoldermanA R Girbes
Feb 5, 2004·Journal of the American College of Surgeons·Beth E TaylorCraig M Coopersmith

❮ Previous
Next ❯

Citations

Aug 5, 2010·Critical Care : the Official Journal of the Critical Care Forum·Daniël A GeerseMarcus J Schultz
Jan 23, 2009·Nutrition·Martin A Crook
Aug 10, 2007·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Phillip OwenRobert MacLaren
Aug 7, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Arnold J Felsenfeld, Barton S Levine
Sep 26, 2012·Pediatrics International : Official Journal of the Japan Pediatric Society·Hiroshi MizumotoDaisuke Hata
Dec 26, 2012·Journal of Critical Care·Satoshi SuzukiColin Hegarty
Apr 28, 2007·JPEN. Journal of Parenteral and Enteral Nutrition·Roland N DickersonRex O Brown
Apr 9, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sarah J Miller
Nov 2, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Kristen M RhodaCristiano Quintini
Jan 8, 2016·Journal of Pharmacy Practice·Sarah L Clark, Erin M Nystrom
Jan 1, 2015·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michael D Kraft
Feb 7, 2012·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Annalynn Skipper
May 18, 2007·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Roland N DickersonRex O Brown
Aug 26, 2015·JPEN. Journal of Parenteral and Enteral Nutrition·Corry T JohnstonRoland N Dickerson
Apr 25, 2018·Acta Anaesthesiologica Scandinavica·C K FederspielM H Bestle
Apr 4, 2014·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Sara E ParliBarbara Magnuson
Nov 2, 2017·Journal of Intensive Care Medicine·Brittany D BissellMelissa L Thompson Bastin
Mar 24, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Akil KaderbayChristian Adrien Righini
Oct 8, 2020·Revista da Associação Médica Brasileira·Amanda Coelho RibeiroJosé Eduardo de Aguilar-Nascimento
Dec 4, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Annika Reintam BlaserMette M Berger

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.