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Potassium Deficit Calculator

Potassium deficit calculator estimates total body K+ replacement needs for hypokalemia. Each 1 mEq/L drop below 4.0 represents approximately 200 mEq total body deficit, and normal serum potassium is 3.5 to 5.0 mEq/L.

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Formula

#
Core Formula
Deficit=(Target KCurrent K)×W×0.4\text{Deficit} = (\text{Target K} - \text{Current K}) \times W \times 0.4

How it works: Approximates the total body potassium deficit. Note: Most potassium is intracellular, so serum levels only reflect a fraction of total stores.

Worked Example

70kg Patient, 3.0 K, Target 4.0 -> ~28 mEq deficit (Rule of thumb used clinically is often more aggressive).

Potassium Deficit Calculator - K+ Replacement Dose

Potassium is the primary intracellular cation, with only 2% found in the extracellular space. Serum levels only approximate total body stores, making deficit estimation inherently imprecise.

  • Normal serum potassium: 3.5 to 5.0 mEq/L; hypokalemia is below 3.5 mEq/L
  • Rule of thumb: each 1 mEq/L drop below 4.0 represents approximately 200 mEq total body deficit
  • Always check and correct magnesium first, as low Mg causes renal potassium wasting
  • IV replacement rate: maximum 10 to 20 mEq/hr peripherally, 40 mEq/hr centrally with cardiac monitoring
  • Severe hypokalemia (below 2.5 mEq/L) can cause life-threatening arrhythmias

This calculator is for educational purposes only. Potassium replacement requires cardiac monitoring and frequent lab rechecks under the guidance of a healthcare professional.

You can also calculate changes using our Magnesium Deficit Calculator or Sodium Deficit Calculator.

Frequently Asked Questions

How much does 10 mEq raise serum K?

Generally, 10 mEq of potassium raises serum level by about 0.1 mEq/L, assuming normal renal function. This varies based on total body deficit, acid-base status, and kidney function.

Why check Magnesium too?

Magnesium is required for the kidneys to retain potassium. If magnesium is low (below 1.7 mg/dL), potassium replacement will be ineffective because the kidneys continue wasting potassium.

Is serum potassium accurate?

Serum potassium reflects only about 2% of total body potassium. A serum level of 3.0 mEq/L may represent a total body deficit of 200 to 400 mEq or more.

What are the symptoms of hypokalemia?

Mild hypokalemia may cause muscle weakness, cramps, and fatigue. Severe hypokalemia (below 2.5 mEq/L) can cause paralysis, rhabdomyolysis, and dangerous cardiac arrhythmias.

IV or oral replacement for hypokalemia?

Mild hypokalemia (3.0 to 3.5 mEq/L) can often be treated orally (40 to 80 mEq/day). Severe cases (below 2.5 mEq/L) require IV replacement with cardiac monitoring.

Is this calculator a substitute for medical advice?

No. This tool is for educational purposes only. Potassium replacement should always be managed by a healthcare professional with appropriate monitoring.

Can I use this Potassium Deficit Calculator on my own web page?

You can. Look for the "Embed" button near the top of this calculator. It lets you pick a size, border style, and color palette, then gives you an iframe tag to paste into any webpage. The widget is responsive, loads fast, and costs nothing. More details at calculory.com/services/embed-calculators.

Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

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