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Table 4 Intravenous treatment of hypophosphatemia

From: Treatment of hypophosphatemia in the intensive care unit: a review

Author [ref.]

Year

Serum phosphate (mmol/L)

Dose

Speed

Efficacy

Complications/safety

Brown et al. [61]

2006

0.73-0.96

0.32 mmol/kg

7.5 mmol/h

No significant increase in iP

Considered safe

Ā Ā 

0.51-0.72

0.64 mmol/kg

7.5 mmol/h

iP normalized in 59%

Considered safe

Ā Ā 

<0.50

1 mmol/kg

7.5 mmol/h

iP normalized in 60%

Considered safe

Taylor et al. [62]

2004

0.55-0.70

0.2 mmol/kg

33 Ī¼mol/kg/h

iP normalized in 76% (all patients)

Considered safe

Ā Ā 

0.32-0.55

0.4 mmol/kg

67 Ī¼mol/kg/h

Ā 

Considered safe

Ā Ā 

<0.32

0.6 mmol/kg

100 Ī¼mol/kg/h

Ā 

Considered safe

Charron et al. [63]

2003

0.40-0.65

30 mmol

15 mmol/h

Equally effective

Mild hyperphosphatemia and mild hyperkalemia

Ā Ā Ā 

30 mmol

7.5 mmol/h

Ā Ā 
Ā Ā 

<0.40

45 mmol

15 mmol/h

Equally effective

Ā 
Ā Ā Ā 

45 mmol

7.5 mmol/h

Ā Ā 

Perreault et al. [64]

1997

0.40-0.80

15 mmol

5 mmol/h

iP normalized in 81.5%

Considered safe

Ā Ā 

<0.40

30 mmol

10 mmol/h

iP normalized in 30%

Considered safe

Rosen et al. [65]

1995

0.50-0.65

15 mmol

7.5 mmol/h

iP normalized in 100%

Considered safe

Bollaert et al. [66]

1995

<0.65

20 mmol

20 mmol/h

iP normalized in 80%

Considered safe Mild hypocalcemia

Kruse et al. [67]

1992

<0.80

20-40 mmol

20 mmol/h

mean iP rose from 0.65 to 1.0 mmol/L

considered safe Mild hypocalcemia

  1. iP, serum inorganic phosphate.