Electrolyte Repletion: Difference between revisions

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=Potassium=
#REDIRECT[[Electrolyte abnormalities]]
*Usual dose is 40meq IV or PO unless level is <2.5.  If so, both forms should be given
*10meq will raise serum level by 0.1
*Intravenous K+ typically runs at 10meq/hour, burns when infused, and may cause phelbitis/sclerosis if run faster
*Oral K+ 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 <1.7
*Usual dose is 2g over 1 hour
*If level <than 1.2, double the dose
*Oral repletion may done if level is >1.2 and pt is asymptomatic
*Magnesium oxide 400mg is approximately equal to 2g of MgSO4
 
=Phosphorus=
*If <2.4:
**Neutra-Phos 2 packets PO Q6hr x 48hr OR sodium phosphate 30mmol IV
*If <1:
**IV Sodium Phosphate 45mmol should be used
 
[[Category:FEN]]

Latest revision as of 20:30, 22 September 2014