Correction Formula:
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The corrected potassium formula adjusts measured potassium levels in the presence of hyperglycemia. High glucose levels can cause artificial decreases in measured potassium due to osmotic shifts, and this correction provides a more accurate assessment of true potassium status.
The calculator uses the correction formula:
Where:
Explanation: The formula accounts for the fact that for every 100 mg/dL increase in glucose above 100 mg/dL, serum potassium decreases by approximately 0.6 mEq/L due to intracellular shifting.
Details: Accurate potassium assessment is crucial in diabetic patients with hyperglycemia, as uncorrected low potassium levels may mask true potassium status and lead to inappropriate treatment decisions.
Tips: Enter measured potassium in mEq/L and glucose in mg/dL. Both values must be positive numbers. The calculator is specifically designed for adult patients.
Q1: When should potassium correction be applied?
A: Correction should be applied when glucose levels are elevated (>100 mg/dL) in diabetic patients, particularly those with DKA or hyperglycemic hyperosmolar state.
Q2: Is this correction applicable to all age groups?
A: This specific formula is validated for adult patients. Pediatric correction formulas may differ.
Q3: How accurate is this correction formula?
A: The 0.6 mEq/L correction per 100 mg/dL glucose increase is a widely accepted clinical estimation, though individual variations may occur.
Q4: Should corrected potassium replace measured potassium in medical records?
A: Both values should be documented. The corrected value helps guide treatment, but the measured value remains important for laboratory accuracy.
Q5: Are there limitations to this correction?
A: The correction may be less accurate in extreme hyperglycemia or in patients with concurrent acid-base disorders affecting potassium distribution.