Potassium Replacement 🍌

When to Replace

  • Potassium is a key intracellular cation and critical for neuromuscular function.
  • Mild hypokalaemia (e.g. 3.0–3.4) may not require urgent replacement unless symptomatic or cardiac risk.
  • Levels <3.0 usually require replacement, especially in patients with comorbidities or on diuretics.

IV vs Oral

  • Oral replacement is preferred when feasible — slower onset, safer, and effective.
  • IV replacement should be used with caution and appropriate monitoring, especially via peripheral lines.

Monitoring

  • Recheck K+ within 4–6 hours of IV replacement.
  • Continuous ECG monitoring for rapid replacement or high-risk patients.

Related Topics

Potassium Replacement

Calculate replacement strategy based on potassium levels

Instructions

Please check your local hospital guidelines before initiating potassium replacement. Enter the patient's potassium level (mmol/L) to get a suggested replacement strategy. Magnesium levels should also be checked and replaced as needed, as hypomagnesaemia can impair potassium repletion.