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Table 83.4

Potassium Replacement in Diabetic Ketoacidosis*

Plasma potassium (mmol/L)Potassium added (mmol/L)
<3.5Regimen needs review
3.5–5.540
>5.5None

* Check plasma potassium on admission, 60 min, 120 min, and then 2-hourly from then on.

Can increase the rate of the overall fluid infusion if fluid balance permits, infusion rates of up to 20 mmol/h of potassium can be given peripherally. If there is persistent hypokalaemia, rates of up to 40 mmol/h can be given via a central venous catheter, with monitoring in a high dependency unit.