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