Potassium (K)

  • Moderate Deficiency (3.5-5 and asymptomatic)

    Slow K or K Dur - 2 tabs PO BID

    K-Lyte 25 mEq K PO BID

  • Severe Deficiency (less than 0.5 mmol or symptomatic)

    10 mEq KCL in 100cc NS over 1h x 3 with maximum rate of infusion 10 mEq per hour

Magnesium (Mg)

  • Moderate Deficiency (asymptomatic)

    15-30ml Mg Rougier PO TID-QID

    1-2 tab Mg Gluconate TID-QID

  • Severe Deficiency (less than 0.5 mmol or symptomatic)

    2g IV Mg Sulf in 100ml NaCl or D5W at 1-2 g/h with rate not to exceed 150 mg/min (reduce dose in renal failure)

Phosphate (PO4)

  • Moderate Deficiency (0.3-0.7)

    15 mmol phosphate in 100-250 NaCl over 4 hours via central line

    1-2 tabs Phosphate Novartis Po BID-TID

  • Severe Deficiency (less than 0.5 mmol or symptomatic)

    30 mmol phosphate in 100-250 NaCl over 4 hours via central line with repeat serum phosphate level after administration

Calcium (Ca)

  • (correction: [(40 - albumin) x 0.02] + Ca)
  • Moderate Deficiency

    1-2 tabs calcium carbonate PO BID-TID

  • Severe Deficiency

    1-2g calcium gluconate in 100ml NS at 1g/h rate not to exceed 0.75 mmol/min

    1g calcium chloride in 100ml NS at 1g/h rate not to exceed 0.75 mmol/min