hyperphosphatemia

Which brings us to phosphate and one of the most perilous conditions we ever manage in the ICU, refeeding syndrome.

Hyperphosphatemia is straightforward, usually secondary to renal failure or massive cellular shifts, historically seen after administering a fleeter's phosphosoda enema.

And you treat it with phosphate binders like Sevalamer or dialysis.

But severe hypophosphatemia, that's what keeps intensivists awake at night.