Ultimately she'll have to be titrated to the target level (presumably normal
range) taking into account also concurrent meds (especially things like
furosemide, ACE inhibitors which can have large effects on K), so it's not
practical to predit a priori. You have to be careful with a carbonate salt
because you can start messing with pH, which is not a problem with KCl.

Signature
Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences and Chemical Engineering
University of Toronto
> My mother-in-law, who weighs 285 lbs., recently had a cardiac
> catheterization. While she was in the day surgery suite, a nurse came
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>
> Jerelyn
Jerelyn - 17 Apr 2004 02:34 GMT
Greg, I didn't mean her level ultimately - I just meant how much are
the IVs and tablets "likely" to raise her level over 4.5 hours. The
only drug she takes is Avalide 300/12.5. When a hospital staff member
is presented with a low K patient, they probably apply a guideline
written by their hospital and they start there.
Thanks.
> Ultimately she'll have to be titrated to the target level (presumably normal
> range) taking into account also concurrent meds (especially things like
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> >
> > Jerelyn
Gregory Poon - 17 Apr 2004 04:06 GMT
Sorry I misunderstood your first post. You're right, for acute hypokalemia
there'd be a sliding scale for the dose of KCl, i.e., determined by the last
measurement of serum [K], with the goal of reaching the normal range (<5
mEq/L). So I'd expect her K level will be raised to the normal range with
the dose she was given. The Avalide should be fairly K-neutral as it's a
combination of a K-wasting (HCTZ) and K-sparing drug (irbesartan); was she
taken off it for the procedure?

Signature
Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences and Chemical Engineering
University of Toronto
> Greg, I didn't mean her level ultimately - I just meant how much are
> the IVs and tablets "likely" to raise her level over 4.5 hours. The
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> > >
> > > Jerelyn