A case of hyperphosphatemia and acute renal failure following the administration of solin(R) (oral sodium phosphate).
- Author:
Jong Won PARK
1
;
Jae Chun SONG
;
Hyun Chul LIM
;
Byeung Seung KANG
;
Ki Sun BAE
;
Hyo Jin PARK
;
Sung Kyu HA
Author Information
1. Department of Internal Medicine, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea. Hask1951@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Oral sodium phosphate;
Acute renal failure;
Hyperphosphatemia
- MeSH:
Acute Kidney Injury;
Colonoscopy;
Female;
Hand;
Heart Failure;
Humans;
Hyperphosphatemia;
Hypocalcemia;
Inflammatory Bowel Diseases;
Intestinal Obstruction;
Middle Aged;
Paresthesia;
Patient Compliance;
Polyethylene Glycols;
Renal Insufficiency;
Sodium
- From:Korean Journal of Medicine
2008;75(6):689-693
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Solin(R) (oral sodium phosphate) is a commonly used osmotic laxative solution that has replaced polyethylene glycol in bowel preparation for colonoscopy as it has equal or greater efficacy and patient compliance. However, its use has been associated with several cases of acute renal failure and electrolyte imbalance, especially hyperphosphatemia and hypocalcemia. Those at higher risk of complications are patients who are older and have intestinal obstruction, inflammatory bowel disease, renal failure, or congestive heart failure. We report the case of a 61-year-old woman presenting with paresthesia in both hands after using Solin(R) for bowel preparation for colonoscopy. The patient had hypocalcemia and hyperphosphatemia combined with acute renal failure. She recovered from the renal failure and electrolyte imbalance with intravenous hydration and treatment with phosphate-binding agents.
