Abstract
We report a 75-years-old woman, stable on a three-weekly hemodialysis program over a period of 3 years, who develop acute hyperphosphatemia secondary to phosphate administration for bowel preparation. The quick clinical diagnosis and the treatment with intensive hemodialysis resulted in a correction of hyperphosphatemia, hypocalcemia, acidemia and other electrolyte abnormalities. The phosphate cathartics are contraindicated in patients with severe renal insufficient or in dialysis program. Our case shows the severe side effects secondary to injudicious use of sodium phosphate cathartics.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Acute Disease
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Aged
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Cathartics / administration & dosage
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Cathartics / adverse effects*
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Enema / adverse effects*
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Female
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Humans
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Kidney Failure, Chronic / blood
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Kidney Failure, Chronic / complications
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Kidney Failure, Chronic / therapy
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Phosphates / administration & dosage
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Phosphates / adverse effects*
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Phosphorus / blood
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Phosphorus Metabolism Disorders / blood
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Phosphorus Metabolism Disorders / chemically induced*
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Phosphorus Metabolism Disorders / therapy
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Renal Dialysis
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Treatment Outcome
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Water-Electrolyte Imbalance / blood
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Water-Electrolyte Imbalance / chemically induced*
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Water-Electrolyte Imbalance / therapy
Substances
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Cathartics
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Phosphates
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Phosphorus
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sodium phosphate