In this Healthed lecture, nephrologist, Prof Lawrence McMahon covers iron metabolism, IV infusions, and hypophosphataemia. Clinicians should remain alert to the possibility of hypophosphatemia, particularly in those who have IV iron regularly. It appears to be more common with certain IV iron preparations. Suspect it if your post-infusion patient complains of symptoms such as weakness, bone pain, or a change in mental state. In such patients, serum phosphate should be measured and hypophosphatemia corrected. Consideration should also be given to the use of alternative IV iron products in patients who have risk factors for or a history of hypophosphatemia.

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