三项均低:Na=128,K=2.8,Mg=1.2 → 先补镁(难治性低钾风险) 轻度低钠 + 中度低钾 + 中度低镁。关键联动:必须先补 Mg 否则补 K 无效。Na 纠正限速降至 6 mmol/L/24h。优先级:Mg → K → Na。{"result":"3 abnormalities — correct Mg FIRST (refractory K risk). Priority: Mg → K → Na.","metadata":{"input":{"sodium":128,"potassium":2.8,"magnesium":1.2,"weight":70,"sex":"male","ageGroup":"adult","correctionRate":"8"},"result":{"priorityOrder":["Magnesium","Potassium","Sodium"],"abnormalCount":3,"naDeficitEstimate":336,"kDeficitEstimate":147,"recommendedNaRate":6,"mgReplacementPlan":"Moderate: IV MgSO₄ 2 g (16 mEq) in 100 mL NS/D5W over 1 h, repeat q8h. Recheck serum Mg after each dose.","category":"3 abnormalities — correct Mg FIRST (refractory K risk)","method":"Combined Na/K/Mg assessment; correction priority Mg → K → Na","model":"Adrogué NEJM 2000; Gennari NEJM 1998; Agus JASN 1999; Huang JASN 2007; Whang 1994. Not medical advice."}}}
轻度低钾+低镁:Na=140,K=3.1,Mg=1.5 → 口服 Mg 后口服 K 血钠正常,轻度低钾,轻度低镁。门诊方案:先口服 Mg oxide 400 mg,再口服 KCl。无需纠正血钠。{"result":"2 abnormalities — correct Mg FIRST (refractory K risk). Priority: Mg → K.","metadata":{"input":{"sodium":140,"potassium":3.1,"magnesium":1.5,"weight":70,"sex":"male","ageGroup":"adult","correctionRate":"8"},"result":{"priorityOrder":["Magnesium","Potassium"],"abnormalCount":2,"naDeficitEstimate":null,"kDeficitEstimate":84,"recommendedNaRate":null,"mgReplacementPlan":"Mild: Oral magnesium oxide 400 mg once or twice daily. Recheck in 24 h.","category":"2 abnormalities — correct Mg FIRST (refractory K risk)","method":"Combined Na/K/Mg assessment; correction priority Mg → K → Na","model":"Adrogué NEJM 2000; Gennari NEJM 1998; Agus JASN 1999; Huang JASN 2007; Whang 1994. Not medical advice."}}}