علاج نقص بوتاسيوم الدم المتوسط إلى الحاد عندما ينخفض بوتاسيوم المصل إلى ما دون 2.5 ملي مول/لتر لدى البالغين من عمر 16 سنة فأكثر

References

• Severe <2.5 mmol/L
• This guideline does not apply to patients under the age of 16.
• When hypokalaemia is severe with marked clinical features, or unresponsive to oral therapy, potassium must be replaced intravenously.
• Give via a large vein under the direction of a consultant.
• Concentrated infusion solutions containing more than 20mmol/500mL (0.04mmol in 1mL) should be given using an infusion pump.
• Continuous ECG monitoring is mandatory for infusion rates of 20mmol/hour, and for concentrations of 40mmol/500mL or higher.
• Maximum of 2 hours duration then recheck potassium levels.
• Monitor serum potassium following initial therapy, and then at least daily until serum potassium >2.9mmol/L then manage as above.