Potassium Deficit Calculator

Get a quick potassium-deficit estimate for replacement planning.

Result

28.0 mmol
70 kg
1.00 mmol/L

How it is calculated

The tool takes the gap between the target and the measured serum potassium and scales it by body weight: deficit (mmol) = max(0, target − measured) × weight × 0.4. Potassium levels are in mmol/L, which is numerically the same as mEq/L for potassium, and weight is in kilograms. The factor 0.4 is fixed in the tool, so it is a single linear rule of thumb: each 1 mmol/L of shortfall counts as 0.4 mmol per kg. If the measured value is at or above the target, the deficit is 0. Both potassium values must be above 0 and at most 15 mmol/L, and weight must be between 2 and 650 kg; anything outside these ranges shows no result. The tool also shows the drop (target minus measured, never below zero) and your weight rounded to whole kilograms; the calculation itself uses the weight as typed. It is an estimate for study and discussion, not a dosing instruction, and treatment decisions belong to a clinician.

Worked example

An adult weighing 70 kg has a measured potassium of 3.0 mmol/L and the target is 4.0 mmol/L. Step 1: the drop is 4.0 − 3.0 = 1.00 mmol/L. Step 2: multiply by weight: 1.00 × 70 = 70. Step 3: apply the 0.4 factor: 70 × 0.4 = 28.0 mmol estimated deficit. With the same weight, a measured value of 2.5 would give a drop of 1.50 and a deficit of 42.0 mmol.

Try this example →

Common mistakes

  • Entering weight in pounds. The field is in kilograms, so a 154 lb person typed as 154 gives 61.6 mmol instead of 28.0, more than double the right answer for the same drop.
  • Swapping measured and target values. If the measured value is higher than the target, the tool correctly shows 0.0 mmol, which can look like the entries were ignored.
  • Typing a potassium level in the wrong unit or with a slipped decimal, such as 30 instead of 3.0. Levels above 15 show no result.
  • Treating the figure as the dose to give at once. It is an estimated total shortfall, and replacement is normally given in steps with re-measurement, as decided by a clinician.
  • Ignoring that the formula uses one fixed factor. Kidney function, acid-base status and ongoing losses change real needs and are not modelled.

About this calculator

Potassium deficit is a clinical estimate of the total amount of potassium, in millimoles (mmol, numerically the same as mEq for potassium), that a patient with hypokalemia (low blood potassium) needs replaced to bring their level back to the target, since serum potassium alone understates the true deficit — most of the body’s potassium is stored intracellularly, not in the blood that gets measured. This calculator uses a simple weight-based estimate: about 0.4 mmol of potassium per kg of body weight for each 1 mmol/L the measured level sits below the target level you enter.

This estimate guides how aggressively and over what timeframe potassium should be repleted — orally or intravenously — since correcting a large deficit too quickly, especially by IV, carries real cardiac risk from hyperkalemia and arrhythmia. It’s a clinical planning tool used alongside frequent lab monitoring, not a substitute for a clinician’s judgment on the underlying cause and repletion route.

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