Towards Safer Phosphate Repletion: A 24-Hour Weight-Based Infusion Protocol for Hypophosphatemic ICU Patients

AuthorWashington Lima Júnioren
AuthorDebora Cerqueira Calderaroen
AuthorRogerio Passosen
AuthorMargaret Côrteen
AuthorJosé Adalberto Lealen
AuthorMarcelo Oliveira Mayrinken
AuthorGilda Aparecida Ferreiraen
OrcidWashington Lima Júnior [0000-0002-5259-7377]en
OrcidDebora Cerqueira Calderaro [0000-0001-5535-3223]en
OrcidRogerio Passos [0000-0002-3891-6909]en
OrcidMargaret Côrte [0000-0002-3891-6909]en
OrcidJosé Adalberto Leal [0000-0002-1932-7500]en
OrcidMarcelo Oliveira Mayrink [0000-0002-6642-9753]en
OrcidGilda Aparecida Ferreira [0000-0002-1352-7261]en
Issued Date2025-10-31en
AbstractBackground: Evidence on the safety and efficacy of phosphate (P) replacement in hypophosphatemic intensive care unit (ICU) patients remains limited. Objectives: To evaluate the efficacy and safety of a 24-hour weight-based intravenous phosphate replacement protocol. Methods: Adult ICU patients with hypophosphatemia received potassium acid phosphate (25 mL) diluted in 500 mL of saline or 5% glucose, administered via infusion pump. Dosing was 0.3 mmol/kg/24 h for mild hypophosphatemia (0.65 - 0.73 mmol/L) and 0.6 mmol/kg/24 h for moderate to severe cases (≤ 0.64 mmol/L). Phosphate levels were measured every 24 hours. Efficacy was defined as normalization of phosphate within 24 hours. Safety outcomes included hypocalcemia, hypotension, hyperphosphatemia, hyperkalemia, and acute kidney injury. Results: Among 134 patients (aged 67.6 ± 14.6 years; 55% female; median APACHE II median 18), 197 hypophosphatemia episodes were treated. Phosphate normalized within 24 hours in 121 episodes (61%). Mild adverse events occurred in 28 patients (21%); no severe complications were reported. Conclusions: This protocol is not a replacement for standard guidelines in symptomatic hypophosphatemia and unstable patients. It proved effective and generally safe in critically ill patients with mild to severe hypophosphatemia, offering a feasible approach in resource-limited ICU settings where oral formulations are unavailable and frequent laboratory monitoring is unfeasible.en
DOIhttps://doi.org/10.5812/mcj-163990en
KeywordHypophosphatemiaen
KeywordIntensive Care Unitsen
KeywordRepletionen
PublisherBrieflandsen
TitleTowards Safer Phosphate Repletion: A 24-Hour Weight-Based Infusion Protocol for Hypophosphatemic ICU Patientsen
TypeBrief Reporten

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