Electrolyte Repletion: Difference between revisions

(Created page with "=Potassium= *Usual dose is 40meq IV or PO unless the level is <2.5, then both should be used. *10meq will raise the serum level by 0.1 *Intravenous K+ typically runs at 10meq/hou...")
 
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=Potassium=
#REDIRECT[[Electrolyte abnormalities]]
*Usual dose is 40meq IV or PO unless the level is <2.5, then both should be used.
*10meq will raise the serum level by 0.1
*Intravenous K+ typically runs at 10meq/hour, burns when infused, and may cause phelbitis/sclerosis if run faster
*Oral Potassium more quickly absorbed and preferred
*KCl elixir easily swallowed, but tastes terrible, KDur oral tablet is large and hard to swallow.
*Serum K+ will not respond if patient has concurrent hypomagnesmia
 
=Magnesium=
*Replete if serum level if less than 1.7
*Usual dose is 2g over 1 hour
*If level is less than 1.2, double the dose
*Oral repletion may done if level is above 1.2 and the patient is asymptomatic
*Magnesium Oxide 400mg is approximately equal to 2g of MgSO4
 
=Phosphorus=
*Replete if level is less than 2.4
*Oral: Neutra-Phos 2 packets PO Q6 hours x 48 hours
*IV: 30mmol Sodium Phosphate.
*If level is less than 1.0, 45mmol IV Sodium Phosphate should be used.

Latest revision as of 20:30, 22 September 2014