• IV infusion for treatment of acute hypophosphataemia
  • Neonatal Intensive Care Drug Manual




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    Maximum Daily Dose




    Preparation/Dilution

    Oral

    Option 1 (preferred option for infants going home or when a long storage time is required in the NICU): Disperse 500 mg (16.1 mmol) Phosphate-Sandoz in 16 mL of water for injection to make a solution with a concentration of 1 mmol/mL.


    Option 2 (can be used where preparation with low osmolality is preferred e.g. infants with history of feed intolerance): IV sodium dihydrogen phosphate decanted into a bottle and given orally undiluted (expiry time: 7 days).
    IV infusion for treatment of acute hypophosphataemia:

    IV infusion (sodium dihydrogen phosphate): Draw up 1 mL (1 mmol phosphate) and add 19 mL sodium chloride 0.9% or glucose 5% to make a final volume of 20 mL with a concentration of 0.05 mmol/mL. Draw up 3 mL/kg (0.15 mmol/kg).


    IV infusion (potassium dihydrogen phosphate): Draw up 1 mL (1 mmol phosphate) and add 24 mL sodium chloride 0.9% or glucose 5% to make a final volume of 25 mL with a concentration of 0.04 mmol/mL. Draw up 3.75 mL/kg (0.15 mmol/kg).


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    Neonatal Intensive Care Drug Manual

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