Nursing intervention for the patient with hyperphosphatemia includes encouraging intake of:
A. Vitamin D
B. Fleets phospho-soda
C. Milk
D. Amphojel
Correct Answer: D. Amphogel
Administration of phosphate binders (amphojel and basagel) will reduce the serum phosphate levels. Aluminum hydroxide (brand names: Alternagel®, Amphojel®) is an over-the-counter oral antacid and phosphate binder, most commonly used to treat high phosphate levels secondary to kidney dysfunction (abnormal or impaired function of the kidneys). It can also be used to reduce stomach acid production.
Option A: Vitamin D intoxication can produce hyperphosphatemia as a result of excessive gastrointestinal absorption and increased renal reabsorption. Reports indicate that the excessive use of phosphate-containing laxatives or enemas can also produce hyperphosphatemia.
Option B: This medicine is used as part of a bowel cleansing procedure before an x-ray of the bowel, colonoscopy (looking into the bowel with an instrument), or before a bowel operation. It works by producing bowel motions that cleanse the bowel.
Option C: Avoid or limit milk and dairy products, like cheese, yogurt, pudding, and ice cream. Try flavored ice pops or sorbet instead of ice cream. Use non-dairy creamers, soy beverages, or rice milk to replace milk. Make sure the brands are low in phosphorus.
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