Potassium Salt (mEq, mmol, mg) Converter

Potassium Salt (mEq, mmol, mg) Converter

Convert a potassium salt dose in milligrams to mmol (equal to mEq for this monovalent ion), across the common oral salts.

Potassium Salt (mEq, mmol, mg) Converter

mg → mmol
8.04mmol K⁺Example

Potassium chloride 600 mg (13.4 mmol per g)

Formula

Potassium (mmol) = dose (mg) ÷ 1000 × mmol per gram of salt
mmol per gram
fixed by each salt's molecular weight and the number of potassium ions it releases
mEq
numerically identical to mmol for potassium, because potassium is monovalent (charge +1)

Worked example

Potassium chloride 600 mg (13.4 mmol per g)
600 ÷ 1000 = 0.6 g
0.6 × 13.4 = 8.04 mmol K⁺

mmol per gram by salt

Saltmmol K⁺ per gramTypical use
Potassium chloride13.4First-line oral or IV replacement
Potassium citrate9.26Renal stone prevention, urine alkalinisation
Potassium gluconate4.3Oral supplementation where chloride is undesirable
Potassium bicarbonate10Combined potassium and alkali replacement
A given weight of salt yields very different amounts of potassium depending which one it is — read the label, not just the milligram figure.

mmol, mEq, and why they are the same number here

For potassium, mmol and mEq are numerically identical because potassium is monovalent — a single positive charge per ion. This is the single most useful fact to carry into any potassium calculation, and it is not true of calcium or magnesium, both divalent, where 1 mmol equals 2 mEq. A dose expressed in mmol of potassium can therefore be read directly as mEq without conversion.

A 600 mg dose of potassium chloride provides about 8 mmol; the common 8 mmol modified-release tablet found in most formularies is, unsurprisingly, close to 600 mg of the salt. Oral replacement of 40 to 60 mmol typically raises serum potassium by roughly 1 to 1.5 mmol/L, though this relationship is genuinely unreliable in practice, because more than 98% of total body potassium is intracellular and the serum level is a poor proxy for total body stores.

One clinical pattern is worth stating plainly: hypokalaemia that resists replacement is usually caused by unrecognised hypomagnesaemia. Magnesium is required for the renal outer medullary potassium channel (ROMK) to close properly; without adequate magnesium the channel stays open and the kidney continues excreting potassium as fast as it is replaced. Checking and correcting magnesium alongside potassium — rather than simply escalating the potassium dose — is what actually resolves refractory hypokalaemia.

Frequently asked questions

Is mmol the same as mEq for potassium?

Yes, exactly. Potassium is monovalent, so 1 mmol equals 1 mEq. This is not true for divalent ions such as calcium or magnesium, where 1 mmol equals 2 mEq.

How much potassium is in a 600 mg potassium chloride tablet?

About 8 mmol (8 mEq). Potassium chloride provides 13.4 mmol per gram of salt.

How much does oral potassium replacement raise serum potassium?

Roughly 1 to 1.5 mmol/L for 40 to 60 mmol given, though this is unreliable — most potassium is intracellular, so the serum level is only a rough guide to total body stores.

Why does hypokalaemia not respond to potassium replacement?

Refractory hypokalaemia is usually caused by hypomagnesaemia. Magnesium is needed to close the renal outer medullary potassium channel, and without correcting it the kidney continues losing potassium regardless of how much is replaced.

Related calculators

References

  1. Gennari FJ. Hypokalemia. N Engl J Med. 1998;339(7):451–458.
  2. Huang CL, Kuo E. Mechanism of hypokalemia in magnesium deficiency. J Am Soc Nephrol. 2007;18(10):2649–2652.

Medical Disclaimer: The tools and content provided here are for educational and reference purposes only. They are not intended to substitute for professional medical advice, diagnosis, or treatment. Clinical decisions should always be based on the comprehensive assessment of a qualified healthcare professional.