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Hypokalemia

Definition:

  • Serum <3.5mmol/L

Etiology

  • Intracellular shifts: Hypothermia, Exogenous insulin/refeeding, beta-agonists
  • Potassium loss: renal vs extrarenal (generally GI)

renal loss hypokalemia.png 

extrarenal cause of hypokalemia.png

Evaluation

  • Review medication list
  • Basic labs: Serum BMP, Mg
  • Distinguish renal from GI losses with urine potassium.