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Topics:
General Internal Medicine • Nephrology • Cardiology • Critical Care • Electrolyte disorders • Hospital Medicine • General Hospital Medicine
What is your approach to electrolyte repletion for patients hospitalized with cardiac and non-cardiac conditions?
For example, do you target K >4 and Mg >2?
Answer from: at Community Practice
My approach to electrolyte monitoring and repletion emphasizes a patient-specific risk assessment rather than adherence to arbitrary numeric thresholds. The routine, reflexive repletion of potassium, magnesium, and phosphorus in unselected medical inpatients is an overused practice with limited supp...
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Answer from: at Academic Institution
For cardiac patients, I always aim above 4.0, not at 4.0. I have seen residents giving just 20 mEq for K 3.8. I would ask them if K 4.4 would make a difference, and if we aim higher than 4.0, you won’t need to chase numbers constantly. K>4, not K=4.
Other than cardiac, the other conditions...