Discharge Instructions for Hyperphosphatemia
DISCHARGE AND AFTERCARE

Discharge Instructions for Hyperphosphatemia

October 12, 2017

Discharge Instructions for Hyperphosphatemia

You have been diagnosed with hyperphosphatemia, which means you have too much phosphorus in your blood. Phosphorus helps develop bones and teeth and helps control energy metabolism. Most cases of hyperphosphatemia are caused by other health problems, such as kidney disease.

While in the hospital, you may have been treated with medicines for hyperphophatemia.

Diet changes

  • Keep track of how much fluid you drink.

    • Fill a washed and rinsed gallon milk jug with water and keep it in your refrigerator.

    • Try to drink half of the water in the jug during the course of the day.

  • Limit your intake of milk, cheese, cottage cheese, yogurt, and ice cream.

  • Limit your intake of meat, fish, poultry, eggs, beans, and nuts.

  • Avoid or eliminate soft drinks (soda pop).

  • Avoid foods and drinks that contain added phosphorus or phosphates. Read ingredient labels for words containing "PHOS" like pyrophosphate. Consult a dietitian as instructed by your doctor for a list of foods that are safe for you.

Other home care

  • Take all medicines exactly as directed.

  • Take phosphorus-binding antacids with meals as prescribed by your healthcare provider. These antacids bind to the phosphorus in food and prevent it from being absorbed.

  • Avoid over-the-counter medicines that contain phosphorus, such as laxatives, enemas, and supplements. Read the labels before you purchase these products.

  • Keep all appointments for lab work and follow-up. Your healthcare provider needs to watch your condition closely.

  • Resume your normal activities as directed by your healthcare provider.

Follow-up

Make a follow-up appointment as directed.

 

When to call your healthcare provider

Call your provider right away if you have any of the following:

  • Nausea or vomiting

  • Diarrhea that is not relieved by antidiarrheal medication or by changing your diet

  • Constipation that lasts longer than 2 days

  • Chest pain

  • Shortness of breath

Updated:  

October 12, 2017

Sources:  

Martin, KJ. Prevention and Control of Phosphate Retention/Hyperphosphatemia in CKD-MBD: What is Normal, When to Start, and How to Treat? Clinical Journal of the American Society of Nephrology 92011); 6; pp. 440-446

Reviewed By:  

Horowitz, Diane MD,Wilkins, Joanna, RD, CD