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- Title
Severe hypocalcaemia and hyperphosphataemia caused by oral sodium phosphate fleet solution in a haemodialysis patient after parathyroidectomy.
- Authors
Mok, Maggie Ming Yee; Yip, Terence; Lui, Sing Leung; Chan, Daniel Tak Mao; Lai, Kar Neng; Lo, Wai Kei
- Abstract
We report a case with severe electrolyte disturbance after the use of oral sodium phosphate solution (OSPS). A 69-year-old patient on haemodialysis received 45 mL of OSPS for bowel preparation. He had symptomatic hypocalcaemia with a serum calcium level of 0.95 mmol/L and serum phosphate level of 4.73 mmol/L. He was treated with haemodialysis and intravenous calcium supplementation. This patient had total parathyroidectomy recently leading to the absence of parathyroid hormone response. OSPS has been reported to cause life-threatening electrolyte disturbance especially in patients with renal failure. We suggest the use of safer alternatives for bowel preparations in renal failure patients.
- Subjects
WATER-electrolyte imbalances; HYPOCALCEMIA; SODIUM phosphates; SOLUTION (Chemistry); HEMODIALYSIS patients; PARATHYROIDECTOMY; PARATHYROID hormone; KIDNEY diseases
- Publication
NDT Plus, 2011, Vol 4, Issue 4, p248
- ISSN
1753-0784
- Publication type
Article