1/13 Here's my take on electrolyte repletion.
Disclaimers: This is not a comprehensive overview and some physicians have strong opinions about maintaining electrolyte levels. Reference ranges vary by health system.
#MedTwitter #MedEd
Disclaimers: This is not a comprehensive overview and some physicians have strong opinions about maintaining electrolyte levels. Reference ranges vary by health system.
#MedTwitter #MedEd
2/13 First let's review the electrolytes that we check. Here is a fishbone diagram that helps you organize the electrolytes in a standardized way. Indications for repletion matter a lot! In general, we over-replete electrolytes which uses unnecessary resources. #HighValueCare
3/13 Let's start with potassium repletion. Note how I say "cardiac conditions." This is purposely vague as there is debate about which cardiac conditions need require that specific goal. Be careful about giving K to folks with ESRD.
4/13 Here is how you can increase the potassium level.
5/13 Next up is magnesium repletion. Note how "cardiac conditions" comes up again.
6/13 Here is how you can increase the magnesium level.
7/13 Next up is hypocalcemia (there are many other indications to assess for hypocalcemia).
8/13 For inpatient providers, the only practical way to increase Ca levels if they are very low is to give it intravenously.
9/13 Last we have phosphate.
10/13 Many formulations of phosphate have potassium, so make sure to pay attention to that! This table is a combination of various hospital repletion protocols.
11/13 Take home points!
12/13 Here is a summary slide of how to replete electrolytes.
13/13 Here is a link to a pdf that includes the summary slide and the phosphate repletion slide. drive.google.com
Would love to hear thoughts/feedback!
Would love to hear thoughts/feedback!
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