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6 Μαρ 2024 · Hypophosphatemia can be induced by decreased net intestinal absorption, increased urinary phosphate excretion, or acute movement of extracellular phosphate into cells. This topic will review the evaluation and treatment of patients with hypophosphatemia.
Dose. Neonate: 1mmol/kg/day in 2-4 divided doses. higher doses (up to 3mmol/kg/day) are used for osteopenia of prematurity; Child: 2-3mmol/kg/day in 2-4 divided doses . Usual maximum dose Age <5 years: 3 tablets daily Age >5 years: 6 tablets daily; Adolescent/adult: 1-2 tablets 2-3 times per day
5 – 18yr: 2-3mmol/kg (max 97mmol) daily in 2-4 divided doses, adjusted daily as necessary. Available as Phosphate-Sandoz effervescent tablets (16.1mmol phosphate, 3.1mmol potassium and 20.4mmol sodium per tablet) If drops to severe or becomes symptomatic.
When should I give phosphate supplements? Your child needs to have the right dose of phosphate each day, which may be in two, three or four divided doses. Your . doctor will tell you how often to give it. • Twice a day: this should be once in the morning and once in the evening. Ideally, these times are 10–12
The recommended initial phosphate dosing in children ranges from 20 to 60 mg/kg/d. Because of its rapid elimination through the kidneys, the dose of phosphate must be given in 3 to 5 divided doses. Adults generally require smaller relative doses than children, between 1 and 2 g of phosphate divided into 2 to 4 doses per day.
NECTAR GUIDELINES FOR MANAGEMENT OF HYPOPHOSPHATEMIA IN CHILDREN Management of hypophosphatemia will depend on blood phosphate levels and patient symptoms. A) Algorithm for phosphate management Check phosphate level Mild hypophosphataemia 0.64 –0.79mmol/l Is the patient symptomatic? Moderate hypophosphataemia 0.3 –0.63mmol/l Is the patient ...
Phosphate-Sandoz ® • Usually 1-2 tablets, three times daily. Tailor dose according to individual need. Inform patient that diarrhoea is a common side effect. Advise to take plenty of water. May need dose reduction. • If end stage kidney disease, renal transplant or eGFR <45 mL/min/1.73m2 discuss with nephrology
