Phosphate management-a dietitian's perspective.
Hyperphosphataemia is a complication of renal failure which can lead to vascular calcification and hyperparathyroidism. Many factors influence phosphate levels, e.g. adherence to a low phosphate diet, adequate dialysis, hyperparathyroidism and concordance with phosphate binders. This article looks at the issues to consider and provides a dietitian's perspective on phosphate management.
Kariyawasam
Deepa
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Department of Dietetics, King's College Hospital Foundation NHS Trust, Denmark Hill, London SE5 9RS, UK. deepa.kariyawasam@kch.nhs.uk
D002114:Calcinosis / Q000209:etiology; D002614:Chelating Agents / Q000627:therapeutic use; D004046:Dietetics / Q000379:methods*; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology; D054559:Hyperphosphatemia / Q000178:diet therapy* / Q000188:drug therapy / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000150:complications*; D009398:Nephrology / Q000379:methods; D015596:Nutrition Assessment; D010348:Patient Care Team; D010349:Patient Compliance; D016226:Phosphorus, Dietary / Q000009:adverse effects*; D017410:Practice Guidelines as Topic; D017009:Professional Autonomy; D024382:Professional Role; D012307:Risk Factors; D006113:United Kingdom; D014652:Vascular Diseases / Q000209:etiology
D002614:Chelating Agents; D016226:Phosphorus, Dietary