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What is the maximum recommended rate of IV potassium repletion?
10 to 20 meq/h
but can increase to as high as 40 to 100 meq/h for those with paralysis or life-threatening arrhythmias
Of note, potassium concentrations > 60 meq/L should be administered through a central line given the pain that can be caused when given through a peripheral vein.
Source
Rose, B. MD. "Clinical manifestations and treatment of hypokalemia" Up to Date. 24 Jan 2009.
This is a question that I’ve gotten a few times over the years. You’ve got a patient in AFIB that has been rate controlled after a bolus of...
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