Electrolyte Disorders Following Oral Sodium Phosphate Administration for Bowel Cleansing in Elderly Patients
Author(s) -
Yichayaou Beloosesky,
J Grinblat,
Avraham Weiss,
Boris Grosman,
Uzi Gafter,
Avry Chagnac
Publication year - 2003
Publication title -
archives of internal medicine
Language(s) - English
Resource type - Journals
eISSN - 1538-3679
pISSN - 0003-9926
DOI - 10.1001/archinte.163.7.803
Subject(s) - hyperphosphatemia , hypokalemia , medicine , creatinine , potassium , sodium , renal function , excretion , gastroenterology , hypophosphatemia , hyperkalemia , endocrinology , fractional excretion of sodium , chemistry , calcium , organic chemistry
Oral sodium phosphate is currently used for colon preparation prior to colonoscopy or barium enema. Sodium phosphate induces hyperphosphatemia, hypocalcemia, and hypokalemia. Elderly patients are at an increased risk for phosphate intoxication due to decreased glomerular filtration rate, medication use, and systemic and gastrointestinal diseases. We investigated these electrolyte disorders and their correlation with creatinine clearance, coexistent diseases, medications, and functional status.
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