MedicationInitial dosageEffectivenessComments
Potassium chlorideOral: 10 to 40 mEq two to four times per day
Intravenous*:
 Up to 10 mEq per hour (peripheral line)
 Up to 20 mEq per hour (central line)
Emergent treatment:
 5 to 10 mEq intravenously over 15 to 20 minutes
Expect increase in serum potassium by 0.1 mEq for every 10 mEq administered; may be less if the patient is experiencing ongoing lossesMost effective formulation; up to 40% improved absorption compared with other formulations
Intravenous treatment should be reserved for patients with electrocardiography changes, paralysis, respiratory failure, rhabdomyolysis, or inability to take treatment orally
Continuous cardiac monitoring is recommended for rates of 10 mEq per hour and greater
Potassium bicarbonate (potassium citrate, acetate, gluconate)Oral:
 Bicarbonate
20 to 40 mEq per day in one to two divided doses (prevention)
40 to 100 mEq per day in two to four divided doses (treatment)
 Citrate
10 to 20 mEq two to four times per day
 Gluconate
10 to 20 mEq two to four times per day
Intravenous:
 Acetate
Up to 10 mEq per hour (peripheral line)
Up to 40 mEq per hour (central line)
Intravenous treatment should increase serum potassium levels by 0.1 mEq per L for every 10 mEq administeredPreferred for patients with metabolic acidosis
Potassium gluconate is commonly found in over-the-counter formulations
Continuous cardiac monitoring recommended for intravenous infusions
Potassium phosphatePrimarily used for the treatment of hypophosphatemia
For every 1 mmol of phosphate, there is 1.5 mEq of potassium
Not establishedTypically found in dietary potassium
Reserve for patients with hypokalemia and hypophosphatemia (e.g., refeeding syndrome, type 2 renal tubular acidosis, Fanconi syndrome)
Avoid oral supplementation due to phosphate-induced diarrhea