Disorders of Phosphorus in Critical Illness

Disorders of phosphorus are common in critically ill horses, often occurring secondary to conditions such as endotoxemia, renal failure, or malnutrition. Phosphate imbalances can impair skeletal and cardiac muscle function, erythrocyte integrity, and bone metabolism, thereby complicating recovery. Diagnosis relies on routine biochemical testing. Treatment depends on severity: mild hypophosphatemia may be managed with oral supplementation, whereas severe cases require slow intravenous replacement with calcium monitoring. Hyperphosphatemia is addressed by promoting excretion and limiting absorption. Correction of the underlying disease and concurrent electrolyte abnormalities is essential. Although well documented in other species, equine-specific data remain limited.