Recognition and Management of Malnutrition
13. Appendix
Treatment of Hypophosphatemia
| Degree of Hypophosphatemia | IV Phosphate Replacement Dosage Administer over 6-12 hours |
|---|---|
| 2.3-2.7 mg/dL, asymptomatic | 0.08-0.16 mmol/kg |
| 1.5-2.2 mg/dL, asymptomatic | 0.16-0.32 mmol/kg |
| <1.5 mg/dL, symptomatic | 0.32-0.64 mmol/kg |
Note: Ensure adequate renal function: in patients with renal insufficiency give 50% initial dose Adapated from Refeeding Syndrome. Pediatr Clin N Am 56 (2009)1201-1210.
Treatment of Hypokalemia
| Degree of Hypokalemia | IV Potassium Replacement Dosage Administer over at least 1 hour |
|---|---|
| 2.5-3.4 mEq/L | 0.3-0.4 mEq/kg per dose over at least 1 hour |
| <2.5 mEq/L | 0.4-0.5 mEq/kg per dose over at least 1 hour |
Note: Ensure continuous cardiorespiratory monitoring Adapated from Refeeding Syndrome. Pediatr Clin N Am 56 (2009)1201-1210.
Treatment of Hypomagnesemia
| Degree of Hypomagnesemia | IV Magnesium Replacement Dosage Administer over 4 hours |
|---|---|
| 1-1.5 mg/dL | 0.2-0.3 mEq/kg per dose |
| <1 mg/dL | 0.3-0.4 mEq/kg per dose |
Note: Ensure adequate renal function: in patients with renal insufficiency give 50% initial dose One gram magnesium sulfate = 8.1 mEq magnesium Adapated from Refeeding Syndrome. Pediatr Clin N Am 56 (2009)1201-1210.