Phosphate Supplementation using Fleet in acid bath

[Corinna Draper]

Hi

I am looking for any policies or experience in using Fleet enema as a phos supplement in the acid bath for hemodialysis patients.  Most policies I have seen are for nocturnal where the issue of low phos is more problematic.  We have a 3xweekly HD patient with chronically low phos unable to tolerate oral supplementation.  We would like to trial use of Fleet in the acid bath to supplement the phosphate.  Looking for dosing and monitoring information.

Please contact me if you have experience with this, feel free to email (below).

Thanks Corinna

draperc@rvh.on.ca

[Gail Wilson]

We use sodium phosphates rectal solution (our hospital’s generic equivalent to Fleet enema) as an additive to the acid bath when we need supplemental phosphate in our 3x/week hemodialysis patients.  We have no policy outlining dose or monitoring.  The nephrologists order by ml of solution to be added and we monitor by serum PO4 labwork.  Doses range from 60-120ml and are adjusted in 30ml increments based on labwork.  We have had patients on this for periods of a few treatments up to as long as a few months.

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