- March 15, 2022
- Newsletter
- 617-430-5616
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Brand Name :
KDur, KCl, K10, Klor-Con M, KTab, MicroK, K8, Kaon Cl 10, Klotrix, Slow K
Synonyms :
potassium chloride
Class :
Electrolyte Supplements, Parenteral, Electrolytes
Dosage Forms & Strengths
Tablet
20mEq
Capsules (extended release)
8mEq
10mEq
Tablet (extended release)
8mEq
10mEq
20mEq
15mEq
Packet (oral)
20mEq
Premix intravenous (plastic container)
10mEq
30mEq
20mEq
40mEq
Solution (oral)
20mEq/15mL
40mEq/15mL
mild to moderate
Tablets or capsules: 40 to 100 mEq orally daily in divided doses and do not take more than 25 mEq at a time to decrease gastrointestinal discomfort
Liquid: 40 to 100 mEq orally daily in 2 to 5 divided doses and do not take more than 40 mEq/dose also do not exceed 200 mEq/24 hours
Alternatively, 10 to 20 mEq orally two to four times a day
Severe hypokalemia
40 mEq orally three to four times a day
Hypokalemia Prophylaxis
20 to 40 mEq orally daily
Dosing considerations
Varies as per doses
Intravenous intermittent infusions
10 mEq of potassium chloride boosts serum potassium levels by roughly 0.1 mEq/L
Dosing based on serum potassium
For 2.5 to 3.5 mEq/L: not more than 10 mEq/hr infusion rate
Concentration not to exceed 40 mEq/L and dose not more than 200 mEq dose for 24 hours
Dosing Modifications
Hepatic impairment
Patients with liver damage should generally begin treatment with a lower dosage range
Renal impairment
Individuals with renal dysfunction should typically initiate medication at the lower dose range
Dosage Forms & Strengths
Tablet
20mEq
Capsules (extended release)
8mEq
10mEq
Tablet (extended-release)
8mEq
10mEq
20mEq
15mEq
Packet (oral)
20mEq
Premix intravenous (plastic container)
10mEq
30mEq
20mEq
40mEq
Solution (oral)
20mEq/15mL
40mEq/15mL
Mild to moderate
>1 month: 2 to 5 mEq/kg orally in divided doses; not to surpass 1 to 2 mEq/kg as a single dose or 20 mEq/kg whichever is smaller that should take into consideration for intravenous administration
Severe
0.5 to 1 mEq/kg/dose: not more than 40 mEq/dose and check serum concentrations in 1 to 2 hours
Refer to adult dosing
anticholinergic agents increase the ulcer-producing effect of potassium chloride
anticholinergic agents increase the ulcer-producing effect of potassium chloride
anticholinergic agents increase the ulcer-producing effect of potassium chloride
anticholinergic agents increase the ulcer-producing effect of potassium chloride
anticholinergic agents increase the ulcer-producing effect of potassium chloride
it increases the effect of ulcer formation of anticholinergic agents
it increases the effect of ulcer formation of anticholinergic agents
it increases the effect of ulcer formation of anticholinergic agents
it increases the effect of ulcer formation of anticholinergic agents
it increases the effect of ulcer formation of anticholinergic agents
may increase the ulcerogenic effect of anti-cholinergic agents
may increase the ulcerogenic effect of anticholinergic agents
may increase the toxic effect of anti-cholinergic agents
may diminish the anticoagulant effect of vitamin K antagonists
may diminish the anticoagulant effect of vitamin K antagonists
may diminish the anticoagulant effect of vitamin K antagonists
may diminish the anticoagulant effect of vitamin K antagonists
may diminish the anticoagulant effect of vitamin K antagonists
Vitamin K: they may increase the antiplatelet effect of antiplatelet agents
Vitamin K: they may increase the antiplatelet effect of antiplatelet agents
Vitamin K: they may increase the antiplatelet effect of antiplatelet agents
Vitamin K: they may increase the antiplatelet effect of antiplatelet agents
Vitamin K: they may increase the antiplatelet effect of antiplatelet agents
they decrease the effect of each other by pharmacodynamic antagonism
they decrease the effect of each other by pharmacodynamic antagonism
they decrease the effect of each other by pharmacodynamic antagonism
they decrease the effect of each other by pharmacodynamic antagonism
they decrease the effect of each other by pharmacodynamic antagonism
interaction of amikacin with medication or fluid that causes electrolyte abnormalities may lead to adverse effects such as arrhythmias, seizures, and renal impairment
interaction of tobramycin with medication or fluid that causes electrolyte abnormalities may lead to adverse effects such as arrhythmias, seizures, and renal impairment
may diminish the anticoagulant effect of Vitamin K Antagonist
may diminish the anticoagulant effect of Vitamin K Antagonist
Actions and Spectrum
In order to maintain healthy cell activity, neuron transmission, and muscle contraction, potassium chloride is a necessary mineral. potassium shortage is treated or avoided when potassium chloride is provided since it returns the body’s potassium levels too normal.
The spectrum of potassium chloride refers to the variety of medicinal uses and outcomes. The therapeutic range of this medication is rather limited and is mostly used to treat potassium abnormalities.
Frequency not defined
Arrhythmias
Hyperkalemia
Dyspepsia
Vomiting
Nausea
Rash
Bleeding
Diarrhea
Post marketing reports
Hyponatremia
Abdominal pain/discomfort
Hyponatremic encephalopathy
Gastrointestinal obstruction
Perforation
Gastrointestinal ulceration
Flatulence
Gastrointestinal perforation
Black Box Warning
Only intravenous administration of concentrated potassium chloride injection should be used, and only after dilution.
The fast or bolus intravenous infusion of concentrated potassium chloride has been linked to fatalities and major adverse effects.
A regulated infusion device must be used to provide potassium chloride concentrated injection slowly after diluting it.
Contraindication/Caution:
Contraindication:
Caution:
Pregnancy warnings:
Pregnancy category: N/A
Lactation: Excretion into human milk is unknown
Pregnancy Categories:
Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.
<b>Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.
Category N: There is no data available for the drug under this category.
Pharmacology
In order to sustain normal cell activity and electrolyte balance, potassium, a significant intracellular cation, is essential. In cases of hypokalemia (low potassium levels), potassium levels are restored with potassium chloride.
The production and transmission of nerve impulses and the contraction of muscles are both mediated by potassium ions (K+). They help sodium-potassium pumps function properly and maintain the electrochemical gradient across cell membranes.
Pharmacodynamics
The normal operation of excitable tissues, such as nerve cells, depends on potassium. It influences the creation and spread of action potentials as well as the resting membrane potential.
For skeletal, cardiac, and smooth muscles to contract properly, potassium is necessary. For muscle fibers to contract in a coordinated and efficient manner, enough potassium levels are necessary.
Pharmacokinetics
Absorption
It is absorbed from the digestive tract when taken orally. Mostly in the small intestine, absorption takes place.
Distribution
With potassium present in both intracellular and extracellular compartments, potassium ions from potassium chloride are dispersed throughout the body. potassium ions can freely diffuse across cell membranes because they are very water soluble.
Metabolism
In the body, potassium chloride is not significantly metabolized. It is largely a source of potassium ions, which take part in a few physiological processes without significantly changing chemically.
Elimination and excretion
The kidneys are the main organs via which potassium is excreted. In those with healthy kidneys, extra potassium is excreted in the urine. Aldosterone, a hormone that encourages potassium excretion in the distal renal tubules, controls potassium excretion.
Administration
In addition to oral tablets and extended-release tablets, potassium chloride can also be taken intravenously and as a powder for oral solution.
Patient information leaflet
Generic Name: potassium chloride
Why do we use potassium chloride?
The main purposes of potassium chloride are the treatment and avoidance of hypokalemia, often known as potassium deficiency. Low levels of potassium in the body are restored with potassium chloride.
potassium chloride aids in bringing potassium levels back to normal, which supports healthy cellular activity and preserves electrolyte balance. In circumstances when there is an electrolyte imbalance, potassium chloride is frequently employed, especially when potassium levels are low.