Treatment of Moderate Hypokalemia with Serum Potassium 2.5–2.9 mmol/L in Adults Aged 16 and Over
This protocol addresses adult patients aged 16 years or over who present with a serum potassium in the moderate range — 2.5 to 2.9 mmol/L. At this level, the deficit is clinically significant and requires prompt structured management.
The defining finding is a measured serum potassium of 2.5 to 2.9 mmol/L, consistent with moderate hypokalaemia. This guideline does not apply to patients under the age of 16.
Management is centred on oral potassium replacement therapy, given in a way that minimises gastrointestinal effects. The complete regimen — including specific agents, schedule, and monitoring requirements — is available in the full protocol.
The target is a rise in serum potassium above 2.9 mmol/L. Monitoring continues following initial therapy, with at least daily checks until that threshold is reached.
References
- Moderate 2.5 to 2.9mmol/L
- This guideline does not apply to patients under the age of 16.
- Three tablets three times per day (108mmol K per day)
- Give with food to minimise gastrointestinal irritation.
- Monitor serum potassium following initial therapy, and then at least daily until serum potassium >2.9mmol/L then manage as above.