My patient was shot in the head behind the left ear, suffering a traumatic brain injury. Subsequently, patient suffered subarachnoid hemorrhage, subdural hematoma, edema, and (+) midline shift. Patient has since developed tracheal erosion r/t tracheostomy placement and c-difficile infection most likely r/t prophylactic broad spectrum antibiotics.
I am doing a long careplan on this patient and am almost finished except for one more detail...this patient has hyperphosphatemia and I can not figure out why. We have to analyze our labs in our careplan. My patient does not have any renal issues, hasn't had any blood transfusions in 3 weeks, and has no muscle necrosis, so why in the world would she have an increased phosphorous level?? Could anybody help please because I am just stumped?
The only reason I can think of is from tissue damage from her brain injury or from the tracheal erosion... but neither of those are muscle tissue, persay, so I don't feel like it's a strong reason for her to have hyperphosphatemia. Also, her calcium is not low.
