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J Nephropathol. 2024;13(1): e21435.
doi: 10.34172/jnp.2023.21435

Scopus ID: 85178927825
  Abstract View: 744
  PDF Download: 149

Original Article

Comparison of treatment of hypokalemia with oral administration of potassium chloride vial or oral tablets

Leila Sabetnia 1 ORCID logo, Farzaneh Hematian 2* ORCID logo, Hosein Jafari 3 ORCID logo, Reza Ganji 2 ORCID logo, Ahmad Nezhadisalami 4 ORCID logo

1 Chronic Renal Failure Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Department of Clinical Pharmacy, Faculty of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Faculty of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4 Alimentary Tract Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
*Corresponding Author: Farzaneh Hematian, Email: farzanehematian@yahoo.com

Abstract

Introduction: Treatment of mild to moderate hypokalemia is a high potassium-containing diet and oral pharmaceutical potassium products. However, several medical centers in Iran use injectable dosage forms orally, which is not a confirmed method by reliable guidelines.

Objectives: This study investigated the advantages and side effects of oral tablets versus injection vials of potassium chloride orally.

Patients and Methods: This descriptive-analytical cross-sectional study was performed from March 2022 to June 2022. Thirty patients received tablets (“potassium chloride tablet” group), and thirty patients received injection vials (“potassium chloride vials orally” group) of potassium chloride orally. The variables, including age, gender, clinical side effects, and serum level of potassium, were regularly recorded.

Results: The mean duration of serum potassium normalization was 42.00 hours for the “potassium chloride tablet” group and 84.57 hours for the “potassium chloride vials orally” group. The mean total potassium intake was 127.20 mEq/L in the “potassium chloride tablet” group and 280.03 mEq/L for the “potassium chloride vials orally” group. No significant difference was observed in gastrointestinal complications, including esophagitis, bloating, stomach ache, and nausea. None of the patients have required endoscopy due to esophagitis.

Conclusion: Our result suggested that prescribing oral potassium chloride tablets has superior benefits over injection vials. However, more detailed research is needed to reveal the other aspects of this problem.

Study Registration: This study was retrospectively registered in Research Registry UIN (UIN: reviewregistry1668).


Implication for health policy/practice/research/medical education:

In the present study, sixty patients into two groups received tablets and injection vials of potassium chloride orally. The side effects and efficacy of the two dosage forms were compared. We found that potassium chloride tablets are more efficient compared to injection vials.

Please cite this paper as: Sabetnia L, Hematian F, Jafari H, Ganji R, Nezhadisalami A. Comparison of treatment of hypokalemia with oral administration of potassium chloride vial or oral tablets. J Nephropathol. 2024;13(1):e21435. DOI: 10.34172/jnp.2023.21435.

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Submitted: 17 Jan 2023
Accepted: 10 Aug 2023
ePublished: 31 Aug 2023
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