Conventional approach to IV potassium supplementation in dogs and cats: Pros and Cons

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If you're new to my channel, I am Igor Yankin, a small animal emergency and critical care specialist based in Texas.

You might know me as the founder of vetemcrit.com, where I’ve spent the last several years creating evidence-based tools, case discussions, and training for veterinarians working on the front lines of emergency and critical care.

My story in ECC started back in 2010 when I worked full-time ER shifts. After five intense years, I completed a small animal rotating internship at Oregon State University, followed by an ECC residency at the University of Florida. Since 2019, I’ve been practicing as a veterinary criticalist.

Over the years, I’ve noticed that what most ER vets and techs need isn’t just more information — it’s a way to connect, discuss real cases, and keep growing together without judgment. That realization inspired me to create something new — a space where emergency and critical care professionals can come together, learn, and support each other in a meaningful way.

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In this video, Dr. Igor Yankin discusses the critical topic of parenteral potassium supplementation in veterinary medicine. He begins by reviewing common IV formulations of potassium, including potassium chloride (KCl) and potassium phosphate (KPO4), and their respective osmolality levels. Understanding osmolality is essential for safe administration, particularly for peripheral versus central IV routes.

The video delves into the importance of maintaining safe osmolality levels to avoid complications such as thrombophlebitis.

Igor outlines a clinical case involving a 4-month-old German Shepherd, Jack, diagnosed with parvoviral infection and mild to moderate hypokalemia. Viewers will learn how to assess the need for potassium supplementation, determine the appropriate route of administration, and calculate the correct dosage based on Jack's condition.

Igor provides two methods for potassium supplementation, emphasizing the importance of not exceeding safe rates during IV administration. He also addresses potential risks associated with high potassium concentrations, particularly when administered close to the heart.

This video equips you with essential knowledge about potassium supplementation and its implications for patient care.

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