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Severe Hypophosphatemia in Postoperative Patients
Author(s) -
Dwyer Kathryn,
Barone James E.,
Rogers J. Forbes
Publication year - 1992
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0115426592007006279
Subject(s) - hypophosphatemia , medicine , diabetic ketoacidosis , respiratory alkalosis , refeeding syndrome , parenteral nutrition , enteral administration , muscle weakness , intensive care medicine , metabolic acidosis , insulin , malnutrition
Severe hypophosphatemia may develop in postoperative patients for several reasons including alcohol withdrawal, diabetic ketoacidosis, nutritional recovery (refeeding) syndrome, and severe respiratory alkalosis. Severe hypophosphatemia may result in central nervous system abnormalities, muscle weakness, and renal, hepatic, cardiac, and respiratory dysfunction. Hypophosphatemia may be prevented by close monitoring of phosphorus concentrations in serum, especially in patients predisposed to developing this problem. Proper techniques for the maintenance and repletion of phosphate for both enteral and parenteral use are described.