Hypokalemia laboratory tests: Difference between revisions

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{{Hypokalemia}}
{{CMG}}'''; Associate Editor-In-Chief:''' {{CZ}}; '''Assistant Editor(s)-In-Chief:''' [[User:Jack Khouri|Jack Khouri]]


== Laboratory Findings ==
* Complete blood count (CBC)
* Blood urea nitrogen (BUN)/creatinine
* Calcium
* Magnesium
* Glucose
* Arterial blood gases
* Aldosterone level
* Renin levels
* Urinary sodium
* Urine potassium
** Levels <25 meq/'''day''' (or <15 meq/L on urine '''spot''') rule out a renal cause of hypokalemia and suggest extrarenal potassium loss or transcellular shift
** Higher potassium excretion suggest renal losses.
* Transtubular potassium gradient (TTKG)
** TTKG= (Urine K x Plasma osmolarity)/(Plasma K x Urine osmolarity)
** A TTKG less than 2-3 indicates renal potassium conservation in a hypokalemic patient
** A urine osmolality less than plasma osmolality or urine sodium <20 mEq/L, the formula is not applicable
* Urine chloride
** <25 meq/L: vomiting or remote diuretic use
** >40 meq/L: diuretics, Bartter's, Gitelman's and mineralocorticoid excess
==References==
{{Reflist|2}}
[[Category:Electrophysiology]]
[[Category:Cardiology]]
[[Category:Endocrinology]]
[[Category:Emergency medicine]]
[[Category:Nephrology]]
[[Category:Electrolyte disturbance]]
[[Category:Blood tests]]
[[Category:Intensive care medicine]]
[[fr:Hypokaliémie]]
[[pl:Hipokaliemia]]
[[pt:Hipocaliémia]]
[[ru:Гипокалиемия]]
[[vi:Hạ kali máu]]
[[Category:Inborn errors of metabolism]]
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Latest revision as of 11:50, 25 August 2012