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Potassium chloride, also known as potassium salt, is used as a medication to treat and prevent low blood potassium. [2] Low blood potassium may occur due to vomiting, diarrhea, or certain medications. [3] The concentrated version should be diluted before use. [2] It is given by slow injection into a vein or by mouth. [4]
130–131 mEq of sodium ion = 130 mmol L −1; 109–111 mEq of chloride ion = 109 mmol L −1; 28–29 mEq of lactate ion = 28 mmol L −1; 4–5 mEq of potassium ion = 4 mmol L −1; 2–3 mEq of calcium ion = 1.5 mmol L −1; Ringer's lactate has an osmolarity of 273 mOsm L −1 [14] and a pH of 6.5. [10]
The potassium can be given orally, which is the safest route; or it can be given intravenously, in which case strict rules and hospital protocols govern the rate at which it is given. The usual intravenous dose of 10–20 mEq per hour is given slowly since it takes time for the electrolyte to equilibrate into the cells.
Ringer's solution typically contains sodium chloride, potassium chloride, calcium chloride and sodium bicarbonate, with the last used to buffer the pH. Other additions can include chemical fuel sources for cells, including ATP and dextrose , as well as antibiotics and antifungals.
Acutely, repletion with 10 mEq of potassium is typically expected to raise serum potassium by 0.1 mEq/L immediately after administration. However, for those with chronic hypokalemia, repletion takes time due to tissue redistribution. For example, correction by 1 mEq/L can take more than 1000 mEq of potassium over many days. [6]
Intraperitoneal injection or IP injection is the injection of a substance into the peritoneum (body cavity). It is more often applied to non-human animals than to humans. In general, it is preferred when large amounts of blood replacement fluids are needed or when low blood pressure or other problems prevent the use of a suitable blood vessel for intravenous injection.