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A correction has been published: N Engl J Med 1999;340(8):663.

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Volume 340:154-155 January 14, 1999 Number 2
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Treatment of Hypokalemia

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 by Gennari, F. J.
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To the Editor: In his excellent review, Dr. Gennari (Aug. 13 issue)1 discusses the principles of potassium replacement in the management of hypokalemia. Although he advises caution in the use of intravenous potassium and makes recommendations about the rate of infusion, the importance of the vehicle for such infusions is not mentioned. We agree that the oral route is the safest for potassium supplementation, although intravenous replacement is justified in patients with arrhythmias or neuromuscular paralysis. One further important therapeutic principle concerns the use of glucose-free solutions during intravenous administration of potassium, as the following case report clearly illustrates.

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