Hypokalemia is one of the most commonly encountered electrolyte abnormalities in critically ill patients, and perhaps the most commonly intervened upon abnormality. Although this is mundane, it behooves us to understand it fully and treat it optimally. Even minor nuances in treatment could potentially have significant impact, given how commonly hypokalemia is managed.
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The IBCC chapter is located here.
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I guess this is partially a preference issue, but I don’t really get the priority you place on enteral/oral route of administration. I often see patients tolerate this poorly, rarely see problems with appropriately formulated KCl (i.e. not too concentrated if given by peripheral IV). We do use oral K fairly often if we need to give more K than possible without causing fluid overload by peripheral line (central line purely for electrolytes is rarely done). But in a patient who already has a central line for another reason, that’s our preferred route of administration. Do you have any thoughts… Read more »