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IV fluid (potassium + dextrose)

Potassium chloride with glucose

Adult dose

Dose: Per maintenance regime — typically 1L 5% dextrose + 20–40 mmol KCl over 8–12h
Route: IV
Frequency: per indication

Clinical pearls

  • Maintenance fluid in NBM patients with normal renal function
  • Add KCl 20-40 mmol/L per UK practice

Contraindications

  • Hyperkalaemia
  • Diabetic ketoacidosis (initial)
  • Hypoglycaemia not the indication

Side effects

  • Hyperglycaemia
  • Hyperkalaemia
  • Phlebitis

Interactions

  • ACEi/ARB
  • Insulin

Monitoring

  • K+
  • Glucose
  • U&E

Reference: BNF; NICE CG174; https://bnf.nice.org.uk/drugs/potassium-chloride-with-glucose/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.