Table 4.
Potassium | Magnesium | Phosphate | |
---|---|---|---|
Mild deficiency | 3.1–3.5 mmol/L Oral replacement with 20 mmol (as KCl or other salts) OR i.v. replacement with 20 mmol KCl over 4 to 8 h. Check levels the next day. |
0.5–0.7 mmol/L Oral replacement with 10–15 mmol MgCl2 or Mg-citrate or Mg-L-aspartate Oral Mg should be given in divided doses to minimize diarrhea (absorption process is saturated at about 5–10 mmol Mg) |
0.61–0.8 mmol/L Oral replacement with 0.3 mmol/kg/day PO4 (divided doses to minimize diarrhea) OR i.v. replacement with 0.3 mmol/kg/day PO4 (as K3PO4 or Na3PO4) over 8–12 h. Check levels the next day. |
Moderate deficiency | 2.5–3.0 mmol/L i.v. replacement with 20–40 mmol KCl over 4–8 h. Check levels after 8 h; if not normal, give an additional 20 mmol KCl. |
0.32–0.6 mmol/L i.v. replacement with 0.6 mmol/kg/day PO4 (as K3PO4 or Na3PO4) over 8–12 h. Check levels after 8–12 h and repeat infusion if necessary (max. of 50 mmol PO4 in 24 h). |
|
Severe deficiency | <2.5 mmol/L i.v. replacement with 40 mmol KCl over 4–8 h. Check levels after 8 h; if not normal, give an additional 40 mmol KCl. |
<0.5 mmol/L i.v. replacement with 20–24 mmol MgSO4 (4–6 g) over 4–8 h. Reassess every 8 to 12 h. |
<0.32 mmol/L Same replacement therapy as for moderate deficiency. |