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A Novel Phosphorus Repletion Strategy in a Patient With Duodenal Perforation
Author(s) -
Kemmerly Thomas,
Vuong Carolyn,
Kaunitz Jonathan D.
Publication year - 2014
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 - 10.1177/0884533614529997
Subject(s) - hypophosphatemia , medicine , parenteral nutrition , phosphate , economic shortage , tonicity , perforation , phosphorus , gastroenterology , enema , surgery , intensive care medicine , biochemistry , chemistry , linguistics , philosophy , materials science , government (linguistics) , punching , metallurgy
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.