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3.11.6 - Phosphate

from Section 3.11 - Metabolic Disorders

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Phosphate and calcium are intimately related; both are under tight physiological control.

  2. 2. Phosphate plays a critical role in a number of processes, including energy metabolism, cellular signalling, bone mineralisation and membrane integrity.

  3. 3. Hypophosphataemia is a commonly encountered electrolyte abnormality in critically ill patients.

  4. 4. Disturbances in phosphate level are often multifactorial in aetiology.

  5. 5. Hypophosphataemia can result in respiratory failure and difficulty weaning from mechanical ventilation.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 375
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Gaasbeek, A, Meinders, AE. Hypophosphatemia: an update on its etiology and treatment. Am J Med 2005;118:1094–101.CrossRefGoogle ScholarPubMed
Penido, MG, Alon, US. Phosphate homeostasis and its role in bone health. Pediatr Nephrol 2012;27:2039–48.CrossRefGoogle Scholar
Wadsworth, RL, Siddiqui, S. Phosphate homeostasis in critical care. BJA Educ 2016;16:305–9.CrossRefGoogle Scholar
Weisinger, JR, Bellorín-Font, E. Magnesium and phosphorus. Lancet 1998;352:391–6.CrossRefGoogle ScholarPubMed

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