Hypokalaemia ECG

Metabolic

Recognition

  • • Flattened T waves
  • • Prominent U waves
  • • ST depression
  • • Prolonged QT

Key findings

  • • Risk of torsades, especially with QT-prolonging drugs

Clinical importance

  • • Arrhythmia risk; replace concurrently with Mg

Management pearls

  • • Oral KCl if mild
  • • IV KCl 10 mmol/h peripheral, 20 mmol/h central (max)
  • • Always check + replace Mg

Related in WardRound

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WardRound

Clinical Decisions in Seconds