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Electrolytes

Correction formulas and deficit replacements for electrolyte management.

Clinical Overview

Electrolyte derangements require careful calculation to correct safely. Pseudohyponatremia, pseudohypocalcemia, and precise replacement protocols are common challenges in clinical practice.

Common Use Cases

  • Correcting sodium for hyperglycemia
  • Correcting calcium for hypoalbuminemia
  • Calculating potassium deficits

Clinical Pearls

Sodium Correction

The standard Katz formula adds 1.6 mEq/L to sodium for every 100 mg/dL glucose over 100. The Hillier formula (more accurate for severely elevated glucose) adds 2.4 mEq/L.

Calcium Correction

Approximately 50% of serum calcium is bound to albumin. For every 1 g/dL decrease in albumin below 4.0 g/dL, total serum calcium drops by 0.8 mg/dL.

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