Potassium Deficit Equation:
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The Total Body Potassium Deficit calculation estimates the amount of potassium needed to correct hypokalemia in adults. It accounts for both extracellular and intracellular potassium stores.
The calculator uses the potassium deficit equation:
Where:
Explanation: The equation estimates the total potassium deficit based on the difference between desired and measured potassium levels, adjusted for the patient's size.
Details: Accurate potassium deficit estimation is crucial for safe and effective correction of hypokalemia while avoiding overcorrection which can lead to hyperkalemia.
Tips: Enter normal potassium level (typically 4.0 mmol/L), measured potassium level, and patient's weight in kg. All values must be valid (positive numbers).
Q1: Why use 0.6 in the calculation?
A: The 0.6 factor accounts for total body water distribution, as potassium is primarily an intracellular ion.
Q2: What is a typical normal potassium value?
A: 4.0 mmol/L is commonly used, though normal ranges may vary slightly by laboratory (typically 3.5-5.0 mmol/L).
Q3: How should the deficit be replaced?
A: Replacement should be gradual, typically over 24-48 hours, with close monitoring of serum potassium levels.
Q4: Are there limitations to this calculation?
A: This is an estimate and doesn't account for ongoing losses. Clinical judgment is always required.
Q5: Does this apply to severe hypokalemia?
A: In severe cases (<2.5 mmol/L), more aggressive replacement may be needed under close monitoring.