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Potassium Supplementation Calculator (KCl in IV Fluids)

How much potassium to add per litre of fluid for the patient's serum potassium, and a check of the resulting mEq/kg/h.

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Results are calculated in your browser. Always double-check before administering and use your clinical judgement.

How it is calculated

Serum K (mEq/L)Estimated lossK to add (mEq/L of fluid)Max fluid rate (mL/kg/h)
3.5–5Maintenance2025
3.0–3.4Mild3018
2.5–2.9Moderate4012
2.0–2.4Severe608
< 2Vital risk806

The potassium infusion rate should not exceed 0.5 mEq/kg/h in patients with normal renal function [1].

Worked example

K 2.7 mEq/L → 40 mEq/L; at 30 mL/h in a 10 kg dog = 0.12 mEq/kg/h.

Frequently asked questions

What is the maximum rate of potassium supplementation?

The cited guide states that the rate should not exceed 0.5 mEq/kg/h in patients with normal renal function [1].

How much KCl do I add to fluids for a potassium of 3.0?

For serum potassium 3.0–3.4 mEq/L the guide suggests 30 mEq per litre of fluid, with a maximum fluid rate of 18 mL/kg/h [1].

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References

  1. Hypokalaemia — potassium supplementation guide (WSAVA Congress 2016 proceedings)A. López Quintana — WSAVA 2016, via VIN · 2016

For veterinary professionals. Information supports — never replaces — clinical judgement; always check the current product label and local regulations.

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