22 results
Veltassa (Patiromer) 
MECHANISM: Potassium Binder 
INDICATION: Treatment of Hyperkalemia 
FORMULATION: Powder for oral suspension 
DOSING: 8.4
Veltassa (Patiromer ... least 3 hours Veltassa ... Veltassa can be ... /ambcarerx #Veltassa ... #KBinder #Hyperkalemia
Parathyroid Hormone (PTH) Effect in Calcium and Phosphorus
Calcium - Net Effect Hypercalcemia:
   ↑ intestinal
in Calcium and Phosphorus ... tubular reabsorption Phosphorus ... - Net Effect Hypophosphatemia ... parathormone #Calcium #Phosphorus
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Rule out spurious hypophosphatemia ... absorption (Antacids, Phosphorus ... binders, Niacin ... @aishaikh #Hypophosphatemia
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia ... Zalman Agus #Hypophosphatemia ... #phosphorus #low
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Antacids, Phosphate Binders ... , CAR-T cell #Hypophosphatemia ... Algorithm #nephrology #phosphorus
Phosphate Electrolyte Repletion
Oral: Neutra-Phos, Neutra-Phos-K, K-Phos Neutral (Na and K Phos)
Intravenous: Potassium Phosphate, Sodium Phosphate

Satya Patel
Electrolyte #Repletion #hypophosphatemia ... #intern #phosphorus
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
Phosphate binders ... aluminum-based phosphate binder ... calcium-based phosphate binders ... PhosphateBinders #Hyperphosphatemia
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia ... Malabsorption, Phosphate binder ... DTomacruzMD #Hypophosphatemia
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
Hypophosphatemia ... Hypophosphatemia ... change in serum phosphorus ... ↓ phosphorus ... condition of renal phosphorus
Hypoalbuminemia and hypophosphatemia can mask an anion gap (particularly, low albumin states usually underestimate the anion
Hypoalbuminemia and hypophosphatemia ... and add half the phosphorous