Causes of hypokalemia

Written by Wei Shi Liang
Intensive Care Unit
Updated on September 15, 2024
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Potassium is one of the essential electrolytes necessary for life. Its physiological functions mainly include maintaining cellular metabolism, regulating osmotic pressure and acid-base balance, and preserving cell stress response, etc. Daily potassium intake is about 100 millimoles, with 90% excreted through the kidneys and the remainder through the gastrointestinal tract.

Common causes of hypokalemia include reduced intake, such as long-term inability to eat without timely potassium supplementation. Even though potassium intake decreases, the kidneys continue to excrete potassium, leading to potassium loss. The second cause is increased excretion, which includes losses through the gastrointestinal tract and the kidneys, both of which can lead to hypokalemia. The third cause is the movement of potassium from outside to inside the cells, which can occur during metabolic alkalosis or when glucose and insulin are administered, promoting the transfer of potassium ions into the cells, resulting in hypokalemia.

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Written by Wei Shi Liang
Intensive Care Unit
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Causes and Clinical Manifestations of Hypokalemia

Hypokalemia refers to a condition where blood potassium levels are below 3.5mmol/L. The causes can be due to inadequate intake of potassium, such as prolonged inability to eat without sufficient intravenous supplementation of potassium. It can also result from excessive loss of potassium, through external losses such as vomiting and diarrhea, or through renal losses due to the excessive use of diuretics and certain hormonal imbalances. A third cause involves the shift of potassium into cells, such as during episodes of alkalemia and periodic paralysis. Clinically, mild to moderate hypokalemia is characterized by symptoms like muscle weakness, fatigue, cramps, intestinal obstruction, and some abnormalities in electrocardiograms, including the presence of U waves and flattened T waves. Severe hypokalemia can lead to life-threatening arrhythmias, such as ventricular tachycardia and ventricular fibrillation, which require immediate treatment.

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Written by Gan Jun
Endocrinology
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Early electrocardiogram manifestations of hypokalemia

When hypokalemia occurs in the human body, it produces characteristic manifestations on the electrocardiogram (ECG) known as U waves. These so-called U waves appear as small waves at the tail end of the ST-T segment, often accompanied by a slight depression of the ST-T segment and mild changes in the T wave. If hypokalemia is severe, it can induce supraventricular arrhythmias, including premature ventricular contractions or first-degree atrioventricular block. In very severe cases, it may lead to life-threatening torsades de pointes, a type of ventricular tachycardia. Therefore, monitoring blood potassium levels and timely potassium supplementation are crucial for these patients to protect their health and safety.

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Written by Wei Shi Liang
Intensive Care Unit
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Causes of Hypokalemia

Common causes of hypokalemia include insufficient intake or prolonged inability to eat without intravenous supplementation. In such cases, while intake of potassium decreases, the kidneys continue to excrete potassium, leading to a loss of potassium in the blood. Additionally, increased excretion can cause hypokalemia, including losses from the gastrointestinal tract such as vomiting, diarrhea, and continuous gastrointestinal decompression, which results in a loss of digestive fluids rich in potassium. Potassium loss through the kidneys from prolonged use of potassium-wasting diuretics or during the polyuric phase of acute renal failure can also lead to hypokalemia. Furthermore, the shift of potassium from outside to inside the cells can cause hypokalemia.

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Written by Wei Shi Liang
Intensive Care Unit
1min 4sec home-news-image

Causes of hypokalemia

Potassium is one of the essential electrolytes necessary for life. Its physiological functions mainly include maintaining cellular metabolism, regulating osmotic pressure and acid-base balance, and preserving cell stress response, etc. Daily potassium intake is about 100 millimoles, with 90% excreted through the kidneys and the remainder through the gastrointestinal tract. Common causes of hypokalemia include reduced intake, such as long-term inability to eat without timely potassium supplementation. Even though potassium intake decreases, the kidneys continue to excrete potassium, leading to potassium loss. The second cause is increased excretion, which includes losses through the gastrointestinal tract and the kidneys, both of which can lead to hypokalemia. The third cause is the movement of potassium from outside to inside the cells, which can occur during metabolic alkalosis or when glucose and insulin are administered, promoting the transfer of potassium ions into the cells, resulting in hypokalemia.

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Written by Wei Shi Liang
Intensive Care Unit
1min 11sec home-news-image

When supplementing potassium for hypokalemia, what should be paid attention to?

When supplementing potassium for hypokalemia, the following should be noted: 1. Closely monitor the blood potassium levels. Supplement 60-80 mmol/L of potassium, or recheck the blood potassium level within 1-4 hours after supplementation. 2. If the rate of potassium supplementation exceeds 10 moles per hour, continuous ECG monitoring should be maintained, closely observe the changes in the ECG, and prevent the occurrence of life-threatening hyperkalemia. 3. The rate of potassium supplementation for patients with regenerative dysfunction should be 50% of that for patients with normal kidney function. 4. The daily amount of potassium supplementation should not exceed 100-200 millimoles. 5. Try not to use peripheral veins for high-concentration potassium supplementation. 6. Use sodium chloride solution to dilute potassium-containing solutions, and it is not recommended to use glucose or low molecular weight dextrorotatory sugar as the carrier.