title: 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.
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España. Electronic address: malbalater@senefro.org.
authors.forename: Marta
authors.initials: M
authors.lastname: Albalate
authors.affiliation: Laboratorio de Bioquímica, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Ma Jesús
authors.initials: MJ
authors.lastname: Ruiz-Alvarez
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Patricia
authors.initials: P
authors.lastname: de Sequera
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Perez-Garcia
authors.affiliation: Unidad de Diálisis, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Patricia
authors.initials: P
authors.lastname: Arribas
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Elena
authors.initials: E
authors.lastname: Corchete
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Caridad
authors.initials: C
authors.lastname: Ruiz Caro
authors.affiliation: Laboratorio de Bioquímica, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Tamar
authors.initials: T
authors.lastname: Talaván Zanón
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Roberto
authors.initials: R
authors.lastname: Alcazar
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Mayra
authors.initials: M
authors.lastname: Ortega
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Puerta
mesh_terms: D000465:Algorithms; D004733:Enema; D015312:Hemodialysis Solutions / Q000737:chemistry*; D006801:Humans; D017674:Hypophosphatemia / Q000628:therapy; D010710:Phosphates / Q000008:administration & dosage* / Q000032:analysis; D006435:Renal Dialysis; D012996:Solutions / Q000737:chemistry
chemical_list: D015312:Hemodialysis Solutions; D010710:Phosphates; D012996:Solutions; C018279:sodium phosphate
keywords: Enema; Fósforo; Hemodialysate; Hipofosforemia; Hypophosphatemia; Líquido de diálisis; Phosphate