title: Oral Fleet Phospho-Soda laxative-induced hyperphosphatemia and hypocalcemic tetany in an adult: report of a case.
abstract: OBJECTIVE
  This study was undertaken to report an adverse outcome of the routine use of Fleets Phospho-Soda for bowel cleansing and to review the available literature.
  
  
  METHODS
  Report of a case and review of the literature is presented.
  
  
  RESULTS
  Administration of Fleets Phospho-Soda for bowel preparation in an adult resulted in hyperphosphatemia and hypocalcemic tetany. Review of the literature shows this to be the first such report. Further evaluation suggests a role for partial bowel obstruction and renal failure in this complication.
  
  
  CONCLUSIONS
  Although Fleet Phospho-Soda solution continues to be a safe bowel preparation, caution should be used in adults with bowel obstruction and renal failure.
authors.affiliation: Division of Colorectal Surgery, Los Angeles County and University of Southern California Medical Center, USA.
authors.forename: P
authors.initials: P
authors.lastname: Vukasin
authors.forename: L A
authors.initials: LA
authors.lastname: Weston
authors.forename: R W
authors.initials: RW
authors.lastname: Beart
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications; D000284:Administration, Oral; D000368:Aged; D002400:Cathartics / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications; D010710:Phosphates / Q000009:adverse effects*; D010760:Phosphorus Metabolism Disorders / Q000139:chemically induced*; D013746:Tetany / Q000139:chemically induced*
chemical_list: D002400:Cathartics; D010710:Phosphates; C018279:sodium phosphate