Follow a recipe to prescribe phosphate during hemodialysis

Abstract

The addition of phosphorus (P) to the dialysate (LD) in the form of enema Casen® is common practice in patients with hypophosphatemia. The estimation of the amount to be used and the identification of the problems that may can occur are not well defined. As a result of our work we propose a practical approach of how to proceed to increase phosphate concentration in the hemodialysate. We present a reasoned formula to calculate how much enema has to be added and the problems that may arise.

Keywords: Enema; Fósforo; Hemodialysate; Hipofosforemia; Hypophosphatemia; Líquido de diálisis; Phosphate.