Potassium Deficit Formula:
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The Potassium Deficit calculation estimates the amount of potassium supplementation needed to correct hypokalemia in adult patients. It uses serum potassium levels and patient weight to determine the appropriate replacement dose.
The calculator uses the Potassium Deficit formula:
Where:
Explanation: The equation calculates the estimated potassium deficit based on the difference between desired and current potassium levels, adjusted for the patient's body weight.
Details: Accurate potassium deficit estimation is crucial for safe and effective correction of hypokalemia, preventing both under-treatment and potential complications from over-correction.
Tips: Enter desired potassium level in mEq/L, current potassium level in mEq/L, and patient weight in kg. All values must be valid positive numbers.
Q1: Why use the 0.4 distribution factor?
A: The 0.4 factor accounts for the distribution of potassium between intracellular and extracellular compartments, as only about 40% of administered potassium remains in the extracellular space.
Q2: What are normal potassium levels?
A: Normal serum potassium levels typically range from 3.5 to 5.0 mEq/L. Levels below 3.5 mEq/L indicate hypokalemia.
Q3: How should potassium be administered?
A: Potassium should be administered cautiously, typically intravenously at controlled rates (usually not exceeding 10-20 mEq/hour) with cardiac monitoring in severe cases.
Q4: Are there limitations to this calculation?
A: This calculation provides an estimate and should be used with clinical judgment. Factors such as renal function, acid-base status, and ongoing losses may affect actual requirements.
Q5: When should potassium levels be rechecked?
A: Potassium levels should be monitored regularly during replacement therapy, typically every 2-4 hours during aggressive correction, to assess response and prevent over-correction.