Electrolyte Repletion

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Magnesium

  • Replete if serum level <1.7
  • Usual dose is 2g over 1 hour
  • If level <than 1.2, double the dose
  • Oral repletion may done if level is >1.2 and pt is asymptomatic
  • Magnesium oxide 400mg is approximately equal to 2g of MgSO4

Phosphorus

  • If <2.4:
    • Neutra-Phos 2 packets PO Q6hr x 48hr OR sodium phosphate 30mmol IV
  • If <1:
    • IV Sodium Phosphate 45mmol should be used