For this of you who manage critical care pts, what's the most phos you have put in a TPN for a CRRT pt? Got a level <0.5 with 60mmole naphos in tpn and that's after an additional 45mmole bolus. Thanks
I always thought HD does NOT remove phos unlike CVVH which does remove phos.
Can somebody comment on that?
Just as a note. (Glad you found a solution) In my expierence with TPN and CRRT of any kind, if the CRRT is having a profound effect on an electrolyte, the effect is usually too great to be controlled with TPN. We always give supplement outside the TPN or adjust the Dialysate/Replacement fluid.