Treatment of Hypophosphatemia

Phosphate Sandoz tablet is not available in Hospital Keningau, it can be replace with liquid sodium dihydrogen phosphate.

• 1 tablet of Phosphate Sandoz® effervescent tablets contains 16.1mmol of phosphate 
• 10ml of Liquid Sodium dihydrogen phosphate contains 10mmol of phosphate

Liquid Sodium Dihydrogen Phosphate (10mmol/10ml) can be use through oral administration

• Dilution : No need to be diluted 
• Stability : 7 days in fridge 
• Administration : Usually 6 hourly 
• Side effect : Diarrhoea and nausea 
• Compatibility (for dilution): Sodium chloride 0.45%, 0.9%, Dextrose 5%, 10%
• Dose : 1-2mmol/kg per day in divided doses with feeds.Consider this route if the baby is on half oral feeds. Maximum dose daily not to exceed 2mmol/kg

References

• Guideline for the treatment of hypophosphataemia in adults. March 2016
• https://www.cdhb.health.nz/Hospitals-Services/Health-Professionals/Neonatal-Clinical-Resources/Neonatal-Drug-Information-Sheets/Documents/Sodium%20dihydrogen%20phosphate.pdf