Hypokalemia belongs to the department of nephrology.

Written by Wei Shi Liang
Intensive Care Unit
Updated on September 10, 2024
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Hypokalemia is seen in various clinical departments and can affect the nervous system, muscles, heart, digestive system, kidneys, as well as carbohydrate metabolism and acid-base balance. If hypokalemia occurs, it is important to first identify the primary disease and treat it specifically in the corresponding department. In cases of severe hypokalemia, patients should be admitted to the intensive care unit. Treatment involves addressing the primary disease and promptly supplementing potassium. Severe hypokalemia, especially if accompanied by arrhythmias or muscle paralysis, requires immediate potassium supplementation. Potassium deficiency within cells recovers slowly; treatment may take four to six days to gradually reach a balance. Additionally, it is important to timely correct other electrolyte imbalances. The specific department to which the patient is admitted mainly depends on the primary disease, but in cases of very severe conditions, potassium supplementation should be managed in the intensive care unit.

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Written by Wei Shi Liang
Intensive Care Unit
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Which department to go to for hypokalemia?

Hypokalemia is defined as having a blood potassium level below 3.5 mmol/L. In hospitals, when treating mild hypokalemia, it is essential to identify and treat the primary disease in the corresponding department, such as endocrinology, internal medicine, or gastroenterology. Additionally, timely oral potassium supplementation is necessary to correct the hypokalemia. If severe hypokalemia occurs clinically, with blood potassium levels less than 2.5 mmol/L, treatment in the intensive care unit is required. It is crucial to establish an intravenous access for potassium supplementation immediately. The rate of potassium supplementation should be slow, and blood potassium levels must be monitored continuously.

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Written by Gan Jun
Endocrinology
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Patients with hypokalemia can have what kind of urine?

When patients have hypokalemia, they often exhibit paradoxical aciduria, which is a typical manifestation of hypokalemia. In hyperkalemia, however, there is paradoxical alkaline urine. When serum potassium ions decrease, the renal tubular epithelium reduces its potassium excretion function and instead increases hydrogen excretion, leading to increased reabsorption of sodium and bicarbonate. This results in metabolic alkalosis, causing an increase in plasma bicarbonate, unlike typical alkalosis where alkaline urine is excreted. However, in the case of hypokalemia, acidic urine is excreted, hence it is called paradoxical aciduria.

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Written by Wang Li Bing
Intensive Care Medicine Department
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How is hypokalemia diagnosed?

Hypokalemia refers to a blood potassium level below 3.5mmol/L. Clinically, it is mainly diagnosed through electrolyte tests and arterial blood gas analysis, which can confirm whether a patient has low potassium. After developing hypokalemia, patients may experience symptoms such as fatigue and limb weakness. At this point, treatment should include the oral administration of sustained-release potassium chloride tablets or intravenous infusion of potassium chloride, as well as advising the patient to consume potassium-rich vegetables and fruits to correct hypokalemia. Prolonged hypokalemia can lead to arrhythmia and even endanger the patient’s life. (Medications should be used under the guidance of a clinical doctor, according to the specific situation.)

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Written by Wei Shi Liang
Intensive Care Unit
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Can people with hypokalemia smoke?

Hypokalemia is not directly related to smoking. However, once hypokalemia occurs, there is definitely an underlying disease. In the case that the primary disease is not controlled, it is advisable to avoid smoking. Potassium is an essential electrolyte for life, and its physiological functions mainly include maintaining cellular metabolism, regulating osmotic pressure, acid-base balance, and maintaining cell stress functions. Once hypokalemia occurs, active treatment should be implemented, primarily addressing the primary disease, symptomatic treatment with potassium supplementation, and avoiding the occurrence of hyperkalemia. The principle of potassium supplementation is that for mild hypokalemia without clinical manifestations, oral potassium should be given; in cases of severe hypokalemia, intravenous potassium supplementation should be administered immediately. Intravenous potassium should ideally not use peripheral veins but establish a central vein, and the speed of potassium supplementation and the monitoring of potassium levels should be controlled.

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Written by Wei Shi Liang
Intensive Care Unit
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Why does hypokalemia cause abnormal acidic urine?

Hypokalemia is characterized by a reduction in the concentration of potassium ions in the extracellular fluid, which causes the transfer of three potassium ions from inside the cells to the outside, while two sodium ions and one hydrogen ion move from the outside to the inside of the cells. Due to the decreased concentration of hydrogen ions in the extracellular fluid, metabolic alkalosis can easily occur. At the same time, due to the reduction of blood potassium, the potassium-sodium exchange in the renal tubules decreases. Renal tubular cells secrete more hydrogen ions to exchange with sodium ions, and the reabsorption of bicarbonate ions increases, raising the pH value. This metabolic alkalosis increases the number of hydrogen ions inside the cells and the kidney's hydrogen secretion, thus making the urine acidic, often referred to as paradoxical aciduria.