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Phosphorus

Beschreibung

Health Care Concepts 2 (Fluid & Electrolytes) Mindmap am Phosphorus, erstellt von Ilana Kovach am 25/02/2017.
Ilana Kovach
Mindmap von Ilana Kovach, aktualisiert more than 1 year ago
Ilana Kovach
Erstellt von Ilana Kovach vor fast 9 Jahre
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Zusammenfassung der Ressource

Phosphorus
  1. Hyperphosphatemia
    1. Causes
      1. Chemotherapy

        Anmerkungen:

        • for lymphoma or Leukemia
        1. Chronic kidney Disease
          1. Excessive Ingestion of Milk, Vitamin D & Phosphate containing Laxatives
            1. Hypoparthyroidism
            2. Signs & Symptoms
              1. Mild (Aspymtomatic)
                1. Hypocalcemia
                  1. Tetany
                    1. Deposition of Calcium-phosphorus precipitates in the skin, soft tissue, Cornea, Viscera & Blood Vessels
                      1. Muscle Cramps, Paraesthesia & Seizure
                      2. Interventions
                        1. Foods/Fluids (Dairy) high in Phosphorus should be restricted
                          1. Calcium Carbonate

                            Anmerkungen:

                            • Phosphate binding agent to limit intestinal absorption. 
                            1. Rapid Interventions
                              1. Hemodialysis
                                1. Insulin & Glucose
                                2. Adequate Hydration (Correct Hypocalcemia)
                                  1. Calcium Supplements
                                    1. Aluminum based antacids
                                      1. Caution Renal Failure
                                  2. Hypophosphatemia
                                    1. Causes
                                      1. Malnourishment or Malabsorption
                                        1. Alcohol Withdrawal
                                          1. Use of Phosphate BInding Antacids
                                            1. Parental Nutrition w/ inadequate phosphorus Replacement
                                            2. Signs & Symptoms
                                              1. Mild Asmptomatic
                                                1. Muscle weakness including (Respiratory muscles)
                                                  1. CNS depression
                                                    1. Confusion, seizures, coma
                                                      1. Pain
                                                        1. Dysrthmias
                                                          1. Myopathy
                                                          2. Intervention
                                                            1. Oral Supplements
                                                              1. Foods High in Phosphorus
                                                                1. Meats, fish, poultry, dairy products, whole grains, seeds & nuts
                                                                2. IV phosphorus

                                                                  Anmerkungen:

                                                                  • Potassium Phosphate or Sodium Phosphate (Serum <1mg/dL) serious
                                                                  1. Monitor Potential complication Hypocalcemia
                                                                    1. Dysrthmias
                                                                      1. Muscle Twitching
                                                                    2. Monitor
                                                                      1. monitor Cardiac
                                                                        1. LOC (Temporary)
                                                                    3. 2.4-4.4mg/dL
                                                                      1. ATP
                                                                        1. Critical: (Low Value Concerns) Moderate 1-2.5 mg/dL (Severe- <1mg/dL)
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