II. Indications

III. Precautions

  1. Results altered by Hyperkalemia Management
  2. Obtain lab sample prior to intervention if possible
    1. Do not delay treatment in emergent Hyperkalemia

V. Formula

  1. FEK = (Potassium Excretion x 100)/(total filtered load)
    1. Potassium (K+) Excretion = (Urine K+) / (Serum K+)
    2. Total Load = (Urine Creatinine) / (Serum Creatinine)
  2. FEK = (uK x sCr x 100) / (sK x uCr)

VI. Interpretation of Fractional Excretion of Potassium

  1. FEK <10%: Renal cause of Hyperkalemia
  2. FEK >10%: Extrarenal cause of Hyperkalemia
    1. May also be increased in Chronic Renal Failure

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