Extreme hyperphosphatemia and hypocalcemic coma associated with phosphate enema

Heng Jung Hsu, Mai Szu Wu

研究成果: 雜誌貢獻文章同行評審

25 引文 斯高帕斯(Scopus)

摘要

Fleet enema (sodium phosphate, C.B. Fleet Co., Inc., Lynchburg, Virginia) is widely used for bowel preparation or constipation relief in the hospital and over the counter. The potential risks, including hyperphosphatemia and hypocalcemic coma should be kept in mind of primary care physician. The patients with older age, bowel obstruction, small intestinal disorders, poor gut motility, and renal disease are contraindicated or should be administered with caution. We present a patient with old age and chronic renal failure who developed severe hyperphosphatemia and hypocalcemic tetany with coma after sodium phosphate enema. We recommend the use of alternative enema preparations, such as simple tap water or saline solution enemas, which can prevent fatal complications in high risk patients.

原文英語
頁(從 - 到)643-646
頁數4
期刊Internal Medicine
47
發行號7
DOIs
出版狀態已發佈 - 2008
對外發佈

ASJC Scopus subject areas

  • 內科學

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