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Phosphorus

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(Fluid & Electrolytes) Health Care Concepts 2 Mapa Mental sobre Phosphorus, creado por Ilana Kovach el 25/02/2017.
Ilana Kovach
Mapa Mental por Ilana Kovach, actualizado hace más de 1 año
Ilana Kovach
Creado por Ilana Kovach hace casi 9 años
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Resumen del Recurso

Phosphorus
  1. Hyperphosphatemia
    1. Causes
      1. Chemotherapy

        Nota:

        • 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

                            Nota:

                            • 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

                                                                  Nota:

                                                                  • 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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