Potassium Oral Repletion Formula:
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Potassium oral repletion is the process of correcting potassium deficiency through oral administration of potassium supplements. The required dose depends on the potassium deficit and the absorption efficiency of the supplement.
The calculator uses the potassium repletion formula:
Where:
Explanation: The equation calculates the total oral dose needed to compensate for both the deficit and the expected loss due to incomplete absorption.
Details: Proper potassium repletion is essential for maintaining normal cellular function, nerve conduction, and muscle contraction. Both over- and under-repletion can have serious consequences.
Tips: Enter potassium deficit in mEq and absorption rate (typically 0.7 for most potassium supplements). All values must be valid (deficit > 0, absorption rate between 0-1).
Q1: What's a typical potassium absorption rate?
A: Most oral potassium supplements have an absorption rate of about 60-80% (0.6-0.8).
Q2: How is potassium deficit calculated?
A: Deficit is often estimated based on serum potassium levels, with general guidelines of 100-200 mEq deficit per 1 mEq/L decrease below normal.
Q3: How should oral potassium be dosed?
A: Divided doses are recommended to minimize GI side effects, typically 20-40 mEq per dose with meals.
Q4: When is IV potassium preferred?
A: IV potassium is used for severe hypokalemia (<2.5 mEq/L), cardiac manifestations, or when oral administration isn't possible.
Q5: What are signs of over-repletion?
A: Hyperkalemia symptoms include muscle weakness, paresthesias, ECG changes (peaked T waves, widened QRS), and cardiac arrhythmias.