Hypokalemia: Treatment, Procedure, Cost and Side Effects
Last Updated: Oct 31, 2019
What is Hypokalemia?
Hypokalemia is also known as low potassium symptom . It is not commonly caused by poor dietary intake.The most common reason that potassium levels fall is due to the loss from the gastrointestinal (GI) tract and the kidney.Potassium loss from the GI tract may be caused by:Vomiting,Diarrhea, Ileostomy which is in some patients who have had bowel surgery and have an ileostomy, the stool output can contain significant amounts of potassium.Villous adenoma (a type of colon polyp that can cause the colon to leak potassium)Laxative use.
Serum potassium levels above 3.0 mEq/liter are not considered dangerous or of great concern; they can be treated with potassium replacement by mouth. Depending on the patient's medical condition, other medical problems, and the patient's symptoms, serum levels lower than 3.0 mEq/liter may require intravenous replacement. Decisions are patient-specific and depend upon the diagnosis, the circumstances of the illness, and the patient's ability to tolerate fluid and medication by mouth.
Over the short-term, with self-limited illnesses like gastroenteritis with vomiting and diarrhea, the body is able to regulate and restore potassium levels on its own. However, if the hypokalemia is severe, or the losses of potassium are predicted to be ongoing, potassium replacement or supplementation may be required.
How is the treatment done?
Serum potassium levels above 3.0 mEq/liter are not considered dangerous or of great concern; they can be treated with potassium replacement by mouth. Depending on the patient's medical condition, other medical problems, and the patient's symptoms, serum levels lower than 3.0 mEq/liter may require intravenous replacement. Decisions are patient-specific and depend upon the diagnosis, the circumstances of the illness, and the patient's ability to tolerate fluid and medication by mouth.
Over the short-term, with self-limited illnesses like gastroenteritis with vomiting and diarrhea, the body is able to regulate and restore potassium levels on its own. However, if the hypokalemia is severe, or the losses of potassium are predicted to be ongoing, potassium replacement or supplementation may be required.
In those patients taking diuretics, often a small amount of oral potassium may be prescribed since the loss will continue as long as the medication is prescribed. Oral supplements may be in pill or liquid form, and the dosages are measured in mEq (milliequivalent). Common doses are 10-20mEq per day. Alternatively, consumption of foods high in potassium may be the first option in replacing potassium. Bananas, apricots, oranges, and tomatoes are high in potassium content. Since potassium is excreted in the kidney, blood tests that monitor kidney function may be ordered to predict and prevent potassium levels from rising too high.
Who is eligible for the treatment?
Potassium affects the way neuromuscular cells discharge energy (depolarize) and then regenerate (repolarize) that energy to be able to fire again. When potassium levels are low, the cells cannot repolarize and are unable to fire repeatedly, and muscles and nerves may not function normally. The effects of low potassium include may cause the following symptoms: muscle weakness, muscle aches, muscle cramps, and heart palpitations (irregular heartbeats).Patients who become ill with vomiting and diarrhea, may develop dehydration and weakness. Part of the patient evaluation may include having their electrolyte levels tested in order to determine whether body potassium losses may need to be replaced
Who is not eligible for the treatment?
Hypokalemia is when blood’s potassium levels are too low.Mild hypokalemia doesn’t cause symptoms. In some cases, low potassium levels can lead to arrhythmia, or abnormal heart rhythms, as well as severe muscle weakness. But these symptoms typically reverse after treatment. it is important to understand the meaning of hypokalemia thoroughly so that it is not mistaken to be other diseases and right type of treatment is given to the patient.
Are there any side effects?
If you are suffering from any of the problems like Severe diarrhea (greater than 5 stools in a day).Nausea that interferes with your ability to eat, and is unrelieved by any prescribed medications.Vomiting (vomiting more than 4-5 times in a 24 hour period).Muscle weakness, or a poor appetite that does not improve.Shortness of breath, chest pain or discomfort, should be evaluated immediately without any delay.Feeling your heart beat rapidly (palpitations).You should contact your doctor immediately to check up on your health.
Follow all of your healthcare provider's recommendations for follow up blood work and laboratory tests.Follow your healthcare provider's instructions regarding raising your blood potassium level. If your blood test results show your levels are severely lowered, he or she may prescribe potassium supplements, either in the pill or an intravenous (IV) form.Advice given by the doctors should be followed properly .
What are the post-treatment guidelines?
To help keep your potassium levels within normal range, your doctor may recommend the following:Following a low-potassium diet, if needed. Eating too much food that is high in potassium can cause problems in some people, especially in people with kidney disease. Ask your healthcare provider or dietitian how much potassium is right for you. Eating too much can be harmful, but having too little can cause problems, too. Some people may need a little more; others may need less.Try avoiding certain salt substitutes. Certain salt substitutes are high in potassium. Most people with kidney disease should not use them.
Avoiding herbal remedies or supplements. They may have ingredients that can raise potassium levels. In general, people with kidney disease should not take herbal supplements. If you have any questions about them, ask your healthcare provider.Taking water pills or potassium binders, as directed by your healthcare provider. Some people may also need medicine to help remove extra potassium from the body and keep it from coming back. This may include:Water pills (diuretics) help rid your body of extra potassium. They work by making your kidney create more urine. Potassium is normally removed through urine.Potassium binders often come in the form of a powder. They are mixed with a small amount of water and taken with food. When swallowed, they “bind” to the extra potassium in the bowels and remove it. You must follow the instructions carefully when taking potassium binders.
How long does it take to recover?
The length of time it takes to correct a potassium deficiency varies from person to person, so it’s difficult to give a definitive answer that applies to everyone. First, the cause of the deficiency must be diagnosed and corrected if you hope to maintain an optimal level of potassium in the body. From there, a doctor must take a blood sample to establish the severity of your deficiency, which can help determine the amount and form of potassium needed. Always talk to your doctor before taking a potassium supplement, particularly when dosages are more than those found in multivitamins, which is no more than 99 mg.
What is the price of the treatment in India?
The treatment cost for Hypokalemia is not known.
Are the results of the treatment permanent?
If the potassium level in the body falls to an abnormal level, hypokalemia develops again.Normally the potassium level in the blood should be between 3.6 and 4.8 milliequivalent per liter.Proper observation of potassium level have to be monitored.If it drops low you are again at the risk of developing the disease. Eating potassium rich foods including fruits and vegetables should help increase potassium level.
References
- Low potassium (hypokalemia)- Mayo Clinic [Internet]. mayoclinic.org 2018 [Cited 03 August 2019]. Available from:
- Low potassium level- Medline Plus, Medical Encyclopedia, NIH, U.S. National Library of Medicine [Internet]. medlineplus.gov 2019 [Cited 03 August 2019]. Available from:
- Hypokalemia (Low Level of Potassium in the Blood)- Merck Manual Consumer Version [Internet]. merckmanuals.com 2018 [Cited 03 August 2019]. Available from:
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