The Phosform 2 to monitor your Phosphate levels - Haemodialysis‎ Departments of Nutrition and Dietetics Norfolk and Norwich University Hospitals NHS Foundation Trust James Paget University Hospitals NHS Foundation Trust The Phosform 2 to monitor your Phosphate levels - Haemodialysis‎ Phosphate level mmol/L 3.2 3.0 2.8 2.6 2.4 2.2 2.0 1.8 1.7 1.6 1.5 1.4 1.3 1.2 1.1 1.0 0.8 0.6 0.4 Date TROUBLE SHOOTERS Are you taking your Phosphate Binders correctly? Are you taking the correct dose at meal & snack times? Has your diet changed? High or low? Chat with named Nurse or Dietitian on 01603 287011 HIGH Name: …………………………………………………… Your named Nurse is: ……………………………………… Your Dietitian is: …………………………………………….. Your Phosphate Binder is: ………………………………… Your total daily dose is ……… tablet(s) / capsule(s) per day Split your daily dose as follows Breakfast ……… Lunch ……… Evening Meal ……… Snacks ……… Chew/swallow your binder before/during/after meals LOW Date produced: Jan 2017 Review date: Jan 2020 Developed by