What is the best initial management for acute symptomatic hyperphosphatemia?
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Emergent hemodialysis is the treatment of choice in acute life-threatening symptomatic hyperphosphatemia. (SOR: C, based on a consensus guideline recommendation and case reports.) For asymptomatic hyperphosphatemia, initial treatment is phosphate restriction in intravenous solutions, intravenous fluid administration, and administration of phosphate binders. (SOR: C, expert opinion.)
Evidence Based Practice 14(9): 10-11.