Hypokalemia
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Causes
- Metabolic alkalosis
- High dose insulin Diuretic therapy
- Hypomagnesemia
- Vomiting, Diarrhea
- Purgative use
Clinical features
Fatigue, weakness, Flaccid paralysis, initially in legs spreading to arm and respiratory muscles cramp, restless leg, Ventricular arrythmias, ECG changes, Enlarging u waves, polyuria, polydipsia, anorexia.
Investigation
Serum electrolytes
Management
- Syp k - lyte 40 meq / 15ml 2TSF BD
- Tab Neo - k 500 mg, 2tab TDS - intravenous for sever hypokalemia below 2meq / l
- INF plabolyte 500 cc IV BD or
- Inj KCI IV stat 2 ampules diluted in 1L N / S and infuse at the rate of 100 drops per minute.