MASSACHUSETTS GENERAL HOSPITAL
Department of Pharmacy
Department of Nursing
Critical Care


Generic Name:


Sodium Phosphate IV

Trade Name:

 

Action:

Sodium Phosphates Replacement

Indications:

Hypophosphatemia or Hyponatremia

Administration Guidelines:

Usual Dosage Range and Route:

Infusion Rate: 7.5 milimole per hour
Maximum Infusion Rate: 13 millimole per hour
24 Hour Cumulative: 60 millimole / 24 hours

 

 

Sodium phosphate

Standard Concentration:

Central:

10 millimole / 100ml
15millimoles/ 100ml
20 millimoles/100ml
30 millimoles/ 100ml
45 millimoles/100ml
60 milimoles/250ml

 

Peripheral:

10 millimole / 100ml
15millimoles/ 100ml
20 millimoles/250ml
30 millimoles/250ml
45 millimoles/500ml
60 milimoles/500ml

Maximum Concentration :

Central:

45 millimole / 100ml

 

Peripheral:

15 millimole / 100ml

Special Considerations:

 
- 3 millimoles of Sodium Phosphate= 4 mEq of Sodium
-Ionized calcium and phosphorous level must be known prior to infusion and checked 24 hours post-infusion of phosphorus and prior to next dose.
-Hypocalcaemia
-Hypercalcemia
-Maintain on oral phosphates when necessary
-Renal Failure

Precautions and Side Effects:

-Monitor Bun, creatinine
- Burning sensation may result at site of injection if administered through peripheral access

rev: 03/10