Potassium chloride puts back potassium, the main mineral inside the body's cells, where a pumping system keeps its level far higher than in the blood. Cells need that potassium to carry nerve signals and to make muscles contract, especially the heart. Potassium also supports normal kidney function and helps the body use sugar and build protein. The chloride matters too, because a shortage of either potassium or chloride leads to a shortage of the other.
The kidneys do not hold on to potassium well, so it keeps leaving in the urine even when little comes in, and supplements replace that loss. The wax shell of the extended-release tablet is not absorbed and may show up in the stool, which does not mean the medicine failed. Because potassium helps run the heartbeat, undiluted IV potassium has caused fatal heart rhythm problems and cardiac arrest, and running it in too fast can push potassium dangerously high. People with weak kidneys can build up potassium, and tablets that sit against the gut lining can cause ulcers or narrowing.