A Novel Phosphorus Repletion Strategy in A Patient With Duodenal Perforation
A Novel Phosphorus Repletion Strategy in A Patient With Duodenal Perforation
A Novel Phosphorus Repletion Strategy in A Patient With Duodenal Perforation
research-article2014
NCPXXX10.1177/0884533614529997Nutrition in Clinical PracticeKemmerly et al
Abstract
We describe a case in which a patient receiving parenteral nutrition (PN) developed hypophosphatemia. Due to lack of availability of
parenteral phosphate supplements, we chose to restore phosphate using diluted hypertonic sodium phosphate enemas. Due to the recent
shortages of parenteral minerals and vitamins, such an alternate means of repletion is of increasing importance. Diluted hypertonic sodium
phosphate enemas are inexpensive, easy to administer, and effective since phosphate is readily absorbed across the rectal mucosa. We
hope that through this type of repletion, life-threatening hypophosphatemia among patients receiving PN can be avoided. (Nutr Clin Pract.
2014;29:402-405)
Keywords
phosphorus; phosphates; duodenum; parenteral nutrition; drug shortage; enema; fluids-electrolytes/acid-base; nutrition; adult; life cycle;
enteral access; GI access; minerals/trace elements; parenteral formulas/compounding
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