INSULIN AND POTASSIUM RELATIONSHIP
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- Опубліковано 28 вер 2024
- INSULIN AND POTASSIUM RELATIONSHIP
Have you ever wondered why you need to watch the potassium level when you give insulin?
Or how glucose affects the potassium level?
In this video, I'm going to walk through the key things you need to know about insulin, potassium and glucose for your fluids and electrolytes exam in nursing school.
Here's what we'll talk about:
1. Potassium likes to hang out inside of the cell in the intracellular fluid (ICF)
2. When the blood glucose level is elevated, potassium moves outside of the cell into the extracellular fluid (ECF), causing the potassium level to increase.
3. Insulin forces potassium back into the cell, causing the potassium level to decrease.
CRITICAL THINKING POINT:
Serious complications can occur if the potassium level is too high or too low. So any time you're giving insulin or treating a patient with elevated glucose levels, you must watch their potassium level carefully.
Come back to this video any time you need a quick refresher on insulin and potassium shifts in the body.
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These videos are intended for entertainment purposes only. Although we strive for 100% accuracy in all of our videos, errors may occur. Never treat a patient or make a nursing or medical decision based on the information provided on this channel or in our videos. Never practice nursing or medicine unless you have a proper license to do so.
omg i love her! I spend close to 2 hours trying to understand the relationship between K and Glu and Insulin! i finally understand now. Thank you
Yay! We're so glad! You're so welcome! Thanks for being here, Maha Saidosman! Your support means the world to us. :)
@@NursingSOS i still dont get how to lower chronically elevated insulin, Adiponectin needs to go up, but how?
Ugh that was SO helpful. I love your concise and straight-to-the-point videos! Thank you!
So happy to hear this video was helpful for you, Aisha Ali! You will do GREAT! Thank you for being here, your support means the world to us. 😊
It starts at 1 minute. 1:00
Thanks for timestamping this video, Gayathri Jinesh
Thanks
This is glorious, I've been looking for "how do you treat diabetes insipidus" for a while now, and I think this has helped. Have you ever come across - Wallyamday Improvement Trick - (should be on google have a look ) ? Ive heard some decent things about it and my colleague got great results with it.
@@josemauriciogonzalez7835 shut up lier ..
1:00
I love visualizations! This is a cute little story I will never forget! Thank you!!! 😄👍💖
We LOVE hearing this from students, Mira the Optimist!! 😁😁 So happy to hear this video helped you better understand it! You are going to do FANTASTIC!
Great explanation, after a year…now I get it!!! Thank you!
Thanks so much. Helped me understand it clearly now.
Nice!!
Thanks
Thanks for being here, Sundara P!
Wow totally wow. Amazing thanks
We LOVE hearing this from students, S Husain!! 😁😁 So happy to hear this video helped you better understand it! You are going to do FANTASTIC!
Now I know what happened to my sister when she was going septic, had to call the ambulance to take her to the ER, and they did blood work and urine test and it came back with very high blood sugar and too much Potassium, so they gave Humulin R, they told me that is how they bring down the Potassium levels, I was surprised
Smart analogy using the word 'party'! That sure did draw my attention helping me understand better haha!
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You are awesome 👏 God bless you more!!!
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Thank you!!
Thank you for being here, @leemorales3884! 😊
As a hyperglycemic diabetic myself. How do you monitor potassium levels? Does low potassium cause dehydration? I tend to drink more water and become nauseous after a few ours, giving me suspicions of dehydration, yet my average daily water intake is pretty normal. Have know knowledge of how it interacts with my insulin shots.
Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊 Thanks for being here, cks!
No wonder I'm so tired there's a party going on inside me ! Lol
Kicking It With Ezekiel AkA Chipz Blanco, hah! Yes you're right!! :) Thank you for being here, frie
Wow...u explained it so well dear..Thanks a lot!!!😍💐
Woohoo! Thanks for letting us know you loved the video, Srilakshmi Kameswari! We're so happy to hear that! :)
Very helpful. Thank you
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Plain and simple discuss
Woohoo! Thanks for letting us know you loved the video, mohamed Elgamal! We're so happy to hear that! :)
Question; in Addison's disease, there is low blood glucose but high potassium??
Great question, Neha Yadav! Yes, with Addison's Disease you could see low blood glucose and high potassium levels. There isn't enough cortisol to increase blood glucose levels, and hyperkalemia because of too little aldosterone being released, so the kidneys hold onto potassium. I hope that helped clarify it for you! Thank you for being here, your support means the world to us. 😊
So, if you have a DKA and there are thiazide diuretics in place...risk for hypokalemia increases...
Thank you dear ❤
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Thank youuuuu❤❤❤
So happy to hear this video was helpful for you, kimmel williams! 😊 We LOVE hearing how our resources helped you feel more confident in your knowledge! Hope you have a fantastic day, kimmel williams. 😀
OMG thank you!
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TYSM FOR THIS ♥️
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)Not sure if you are monitoring this but I will give it a shot. During blood work, fasting glucose was 250 because i did not take insulin that morning since I was fasting for the test. The result of the test showed 250 glucose and 5.5 for K (threshold is 5.3 at the lab). Should I take another test with low blood sugar by taking insuline and doing the test again? . I do these tests often myself without doc ordering it...like in labs by paying for it myself. I will visit my doctor in next 2 weeks.
Hey 4D Chess! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
Just what i needed.
Thanks for letting us know you loved this video, Britnie Moodie! Your support means the world to us! :)
God help us all if your answer on your exam, " there is a party outside, " is a winning answer, why I even had a nurse, seeing my shoe laces laced for comfort, said "are you trying to kill yourself" WTF, best stay away from the hospital, like my Gran said 50 years ago
I'm sorry you had such a bad experience in the hospital!
Do you lose potassium in urine when your insulin is really low? I know you lose salt and other minerals when insulin is low but not sure about potassium.
Brandon, great question, you don't lose potassium in your urine, but your blood sugar would increase because of the lack of insulin.
are you saying high blood glucose will cause hyperkalemia?
@anthonydiaz8213, yes a high blood glucose level can cause the potassium to shift into the extracellular fluid (instead of it's typical intracellular space) and cause an increase in potassium in the blood.
So what causes kidney issues, elevated potassium or blood sugar levels?
There are many disorders that can cause kidney dysfunction and electrolyte imbalances. This video is meant to help you understand the relationship of potassium and insulin so that you are able to critically think through disorders, even more, Kelvin Morris!! 😁😁 You are going to do fantastic!!
👍
Thanks for letting us know you loved this video, Melivisiona! Your support means the world to us. Thank you for being here😊
What if the insulin level is too low and potassium is high? What is happening there?
Hey @chabelichat2120! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
How does iv potassium lower glucose tho?
Great question, Alison Wonder lan! When blood glucose is too high the potassium will move outside the cell, and then the insulin will cause both the potassium and glucose to decrease. I hope that helps!
@@NursingSOS okay so iv potassium doesn't lower glucose, insulin does and to prevent the potassium from dropping too low after insulin, you give iv potassium. Correct?
Am in love with her
Is it acrime??
So happy to hear this video was helpful for you, feisal warsame! 😊 Hope you have a fantastic day, friend. 😀
so the potassium goes in and out of the cells, just like that? more of a primary level explanation
Shashi, yes you are right! We are trying to simplify it to get the general process that is happening. Hope it was helpful for you. :)
Insuline gets k and glucose and protein inside the cell
What else ? 🤔
Those are the main ones it affects!!! Thanks for being here, Dams bb!
Doctor I am taking potassium citrate, 1000 mg twice a day, and sporadically when I have a headache I take inuprofen, I would like to know how long should I wait before taking inuprofen so that it does not interact with potassium supplementation?
Hey Automatic! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
This explained nothing behind the “why”
I love visualizations! This is a cute little story I will never forget! Thank you!!! 😄👍💖
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Thank you!!
ABsolutely, Dimple Jha yay!😊 You will do GREAT, friend!
Thanks for this explanation! I also find it helpful to know WHY this happens: when there is lots of glucose around (signaling a state of abundance) insulin is released. Insulin activates the Na+/K+ ATPase to make energy (ATP). The Na+/K+ ATPse pumps sodium out of the cells and potassium into the cells (I use the mnemonic "PUMP-K-IN" to remind myself in which direction the K goes when the pump is active). Because the K+ is pumped inside the cells, insulin can result in hypokalemia. And for this same reason, insulin can be used to treat dangerous hyperkalemia (although only transiently), in the latter case, we just have to remember to give glucose along with the insulin or the patient will become hypoglycemic! Hope this helps.
Thanks for your feedback, Viviana Ruiz! :) Thanks for letting us know you loved this video, Viviana Ruiz! Your support means the world to us! :)
This is better than the vdo as the latter fails to explain the mechanism behind this which is asked everywhere. Science is all about why.
*Thanks* Viviana
Yes ,it was much helpful ..🥰
This is what I needed
This relationship is much useful in patients with hyperkalemia
We can administer glucose along with insulin to make their potassium levels to normal...
@@pharmdmadeeasy9220 tks a lot for that. I also saw inslun activates sodium bomb exchanging H+ for Na+, which increse concentration inside the cell, activating the bomb. But why does insulin exchange H+ for Na+ is the question now, do you know? :-)
Great video! I'm a type 1 diabetic and I have high blood pressure with a low potassium level. This was eye opening. I really like your personality as well.
So happy to hear this video was helpful for you, Noah Buie! You will do GREAT! Thank you for being here, your support means the world to us. 😊
Exactly, since potassium lowers blood pressure better than sodium restriction, it points to the need for diabetics to eat more potassium rich veggies (more than non-diabetics) to counteract the imbalance of potassium leaving the ICF to hang with the higher levels glucose in the blood (raising insulin levels) that their high carb diet is creating.
Make sure to download your FREE Med Surg Study Checklist here: nursingsos.lpages.co/youtube-med-surg-study-checklist/ 👍
Omg! I finally get it! Thank you for explaining this so well. I hope you have a lot of learning videos, as I am a MUCH older nursing student that needs all the help she can get! Thanks again!
Yay! We're so glad you loved this video! Thanks for being here, friend! It's so great you were able to understand insulin and potassium further after watching this video!!! Your support means the world to us. :)
I love you. You're so cute and your explanation is very clear. Keep up the good work! ;)
Woohoo! Thanks for letting us know you loved the video, lovemilfa! We're so happy to hear that! :)
So if we have tipe 2 diabetes we should take potassium 🤔 I'm pre diabetic a1c 5.6 .I will try suplement with potassium .thanls for thr noce explanation.!
Hey Joanna reeis! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
but why does potassium follow glucose? like for what scientific purpose
Uchechi Ohanu, hyperglycemia causes hypertonicity and this pulls the potassium out of the cells. So think of it as a balancing act, with more glucose it will pull the potassium out of the cells, so if glucose isn't that high, not as much potassium will be pulled out. I hope that helps to clarify it for you. Thanks, friend! Have a fantastic day! :)
I came for information but you're too dramatic. Just talk normal. Stopped watching after 44 seconds
“There are two different different places where fluids can be” ( ͡° ͜ʖ ͡°)
thank you sooooo much for making this content fun and easy to understand ❤🌟
You provide great information. Thank you very much. I am a medical student from Iraq. Greetings
Woohoo! You're so welcome, M AA! We're so happy to hear that! :)
wow! I am not a medical student or nurse but I am interesting on what is going on with my body and your explanation was perfect!. I did understand everything you say very clear. I love the way to put it down. Insulin goes to see where the party is!. Gracias
Thank you for being here, Pamela Saba! 😊Your support means the WORLD to us! I am glad you found this video helpful! Have a fantastic day! 💗
Insulin and potassium for dummies. I really like your style.
AWESOME JOB !!!!
Do a video about the relationship between potassium and sodium please, you explain everything so well thank you ❤
We don't, Noor Krayem, but we can add it to our list of topics to cover in the future! So happy to hear the videos are helpful for you!
very clear and simple, thank you so much.
Woohoo! You're so welcome, jessy kouessabio! We're so happy to hear that! :)
I absolutely love this thank you so much❤
It is a good one to help me memorizing the relationship of potassium and glucose level. I just understand that insulin could activate NA-K-ATP pump to help K+ moving back into cells. But is there any reason why hyperglycaemia leading to potassium going out of the cells?
Glucose pulls potassium out of the cells into the extracellular space. Once insulin is given the potassium goes back into the intracellular space. Hope this answers your question!!!
@@NursingSOS i guess its not necessary for a nurse to know this right? we aint no doctors.. he was asking why k+ leak out of the cell
Is it not true that blood tests essentially only measure extracellular potassium? If so, then levels going down should be a good thing as that indicates potassium is back in the cell where it's needed?
Teri L.you would still want to monitor the glucose level as well. Thanks so much for being here!
Nice explanation. I know potassium like parties and for sure also like to dance hard and only police insuline can stop it doing so
Yay, Juan Marquez! We are so glad this video helped you! Thank you for your support, it means the world to us. 😊
My Mom had a reaction to Mircera and I now think it might have to do with insulin/potassium...she has been titrating prednisone too. She is on home hemodialysis and is a type 2 diabetic that didn't need insulin before the prednisone. Mom has had memory/concentration issues that sometimes get better after a high potassium meal. Do you know how to figure this out?
Hey Melivisiona! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
What a great analogy! I'm 100% gonna remember this! THANK YOU :D
Thank you for letting us know you loved this video and that the analogy helped you, Sarah. 😊 Our favorite part of our day is hearing about how our resources have helped YOU! Your support means the world to us. 😁
And we pay Professor to learn from UA-cam videos 🤦🏾♀️🤦🏾♀️🤦🏾♀️ This was soooo helpful, thank you!!
So happy to hear this video was helpful for you, Rose Murray! 😊 We LOVE hearing how our resources helped you feel more confident in your knowledge! Hope you have a fantastic day, Rose Murray. 😀
I'm not a nurse or becoming a nurse but very useful information you never know when it will come up and thank you for educating me.
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Wow, thanks for that info, and easy to understand. I have to make sure I get enough potassium all day because I am diabetic, and I take chlorothoridone for blood pressure and edema...it causes my potassium to drop. Now that I know about potassium levels decreasing after an insulin shot, I will make sure I have enough potassium to compensate for that effect. I also drink Body Armor Lite... it has 2 g of natural sugars, 530 mg of potassium, B vitamins, vitamin C, magnesium and other nutrients. I drink 3 to 4 a day. They are really good ice cold!! Thanks again for the info!!
Hey Theresa Horne! We are so glad this video helped you understand better!
Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
@@NursingSOS I'm not really using this for "medical advice", but it has helped me understand that my potassium can be affected when I give myself my insulin shot. I do communicate with my doctor, but I personally don't believe he knows enough about diabetes, and that is why I do my own research on line.... most nurses and doctors in the hospitals do not know about diabetes other than if someone's blood glucose is a certain amount, they go by a chart that tells them how much insulin to give. I can tell you that because I was in the hospital with COVID in December for 12 days.... because of them, my blood sugar readings were very high, and in come cases, got too low... like a 57!! There were quite a few times when I did not get my meal like I was supposed to, had already received my shot, and had to continuously remind them that I had not received my meal.... as much as 3-4 hours LATE! Then I would get a "boxed meal" which was wheat bread, 2 very thin slices of highly processed turkey, high in sodium, which I wasn't supposed to have, a bag of baked chips, and a fruit cup which was soaking in high fructose corn syrup, and spiked my blood sugar higher... I had to eat something!! I review a number of sites that have nurses and doctors who teach about diabetes..... because I need to know and be aware... I have learned more from them that I have ever learned from any doctor I deal with. I believe it is important to stay educated about diabetes, because there are so many in the medical profession who do get it wrong... so I hope you don't mind me learning from you who specialize in diabetes management. If you would rather I don't, let me know, and I will be glad to unsubscribe and find another source to learn from... I'm not saying that to be nasty, just respectful if you would rather I don't watch your channel, okay?
Now this is something I can understand 😂💀
So happy to hear this video was helpful for you, Life with Akunna! You will do GREAT! Thank you for being here, your support means the world to us. 😊
What an amazing way of pouring out information. I think it happens when someone is interested in English literature, wants to be an author but becomes a doctor by the stroke of luck or bad luck. Anyway, it's really easy to absorb the knowledge that is in the form of a story. 👍
Eram Buttar yay! We are so happy to hear that this video helped you understand better. 😊 You will do GREAT, friend!
*KRIS GET THE BANANA
*POTASSIUM
=HEHEHEHEHEHE
Thanks for letting us know you loved this video, Master Robotnik!
GOD BLESS YOU, you sweet angel of all nursing students taking classes from home
Thanks for being here, Sam Schultz!
Very simple, thank you
Woohoo! You're so welcome, SighsAtYou! We're so happy to hear that! :)
Thanks from Warisha Pakistan
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One word for you : WOW💥♥️
Thank you so much and thanks for being here, Zeel Kodia!
Such a very simple way to get this point across making this so much easier to understand!
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I love you
Thanks for being here, The Truth TV!
This is so helpful! Thank you for such entertaining way to explain it!
Woohoo! Thanks for letting us know you loved the video, Victor Manuel Frigillana! We're so happy to hear that! :)
such a beta
Med student here, great explanation thank you!
Starts at 1:12.
Thanks for timestamping this video, @danielblue4460
Great video! So from my understanding, it would be correct to say that hyperinsulinism would cause hypokalemia whilst hyperglycemia would cause hyperkalemia right?
Demonic Angelboy_04 so hyperglycemia wouldn't necessarily cause hyperkalemia since it depends more on the insulin and potassium relationship, and increased insulin levels can decrease potassium levels. I hope that helps clarify it for you!
So giving insulin drives K back into the cells causing an ECF k shortage bringing on symptoms of hypokalemia?
Yes, CompletelySkewed! Exactly, the insulin pushes the potassium into the cells causing less of it outside the cells (in the blood) causing hypokalemia. I hope that clarifies it for you! I hope you have a fantastic day! 😊
@@NursingSOS You ever encounter a diabetic that showed many of the Hypocalcemia symptoms about an hour after short acting insulin injection? ( Not low blood sugar. This is confirmed.)
it is very help full,u r amazing i wish all presenters r like u
Woohoo! Thanks for the kind words, Liele Netsanet! We're so happy to hear that! :)
When you said, "The police get involved" l literally cracked up.
Whatever will help you learn it and make it stick, Turbo Jones! Your support means the world to us. Thank you for being here😊
It sounds like potassium level will never get depleted in ur body. It just moves back and forth..like there is a reserve.
Yes from the intracellular to the extracellular, fatrianto bong. You're right!
Ur way of communication is really good...I have a doubt..if a patient is hyperglycemic.. insulin administration cause the potassium and glucose level to fall right..so administration of potassium rich die t is good or bad
Thanks for letting us know you loved this video, akshaya akshaya! You are right about insulin and potassium, but maintaining a balanced diet will help to maintain this balance. Excellent critical thinking skills you are using! You will be an AMAZING nurse! :)
Awesome 👍
Thank you for being here, @adamwaters8073! 😊
Pottasdium6.5creatnine 6.5kidney pateint how can we control.
Thsnks in advance pls.
Hey Ashwani Aggarwal! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
Amazing. I am considering applying for an ausbildung in nursing but I have so many doubts and questions.
I don't want to be assigned in the operating room, I just want to be helping patients who are recovering. I don't want to see people die that's why I don't like operating room. I just want to encourage people on their journey to recovery and ease the pains as much as I am capable.
gems plus, you will do AMAZING things, and each day intentionally decide to do better, be stronger, and take action towards your goal! You've got this, friend! 😊
can you please upload more videos on Electrolyte imbalances. i like your videos. you make learning simple and easy to understand.
Yay! 😃 So glad this video was helpful for you, Mariama! Inside the NursingSOS Membership Community we have a full F&E course too!! You can join the VIP list to be the first to know when enrollment opens again right here: nursingschoolofsuccess.com/join/ You will do awesome! Thank you for being here. Have a fantastic day 😊
can you use insulin alone if patient has high potassium and hyperglycemia? as in without dextrose?
Great question, Kom Kom! The reason dextrose is added is to slow down the decrease in blood sugar so that a large fluid shift doesn't occur. So typically it is given with dextrose and fluids to slow and balance the shift. I hope that helps clarify it for you! Have a fantastic day!
Hi, thank you for sharing this, it's exactly the direct answer I've been looking for
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thank goodness for this video !
I wish the book would just say this lol
Woohoo! We're so glad it helped you, Erica Ardoin! We're so happy to hear that! :)
Thank you!!!!!! Year 2 nursing student in NZ here. I was so confused the relationship between those two but now I get it! Thanks heaps!!!!!
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I’m literally obsessed with you! This is amazing
Haha I'm so happy to help!
Thanks for making this video! Precise and easy to understand :) May God bless you!
Yay, Juan Ying! We are so glad this video helped you! Thank you for your support, it means the world to us. 😊
You make learning fun
Yay! I'm so happy to hear it, Lorraine! That's my goal!! :)
Hi, so When the potassium comes out of the cell that means it goes straight into the blood? And so when you said potassium level drops too low” it means that everything gets out of the blood and back into the cells? And do they originally belong in the cells? Did I understand it correctly?^^
Yes!!! You've got it, LiciJamaicaLi! This can get confusing. Potassium moves outside the cell, it is usually inside the cell and likes to stay there, but it will shift to help maintain homeostasis.
NursingSOS Thank you^^
This is simple explanation
So helpful
We're so glad! Thanks for being here, Ellie Martin!
Hey! How do you administer the insulin for hyperkalemia ? Do you mix it in with d50 or do you push insulin first then d50 or vice versa?
Also, beta 2 agonist helps with hyperkalemia too 👍
It may depend on your facility what the policy is, but as long as you are giving them both very close together so that the insulin doesnt have time to drop the sugar it will work! Thanks for being here, Nadia E.!
Is the are a home test to measure your potassium levels like the glucose meter?
Hey Pamela Saba! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. We always recommend if you have any medical specific questions they are best addressed with your healthcare provider. Thank you for understanding. Hope you have a great day! 😊
1:40
What is the actual mechanism behind potassium getting a little curious and wanting to join the party that all of the glucose is having? Ie. what's the mechanism behind leaching potassium into ECF during hyperglycemia given that that insulin has not arrived yet?
OK, I found that hyperglycemia causes hypertonicity and this pulls out potassium out of the cells. But what if there is no pronounced hyperglycemia (just a small hyperglycemia, similar to what you experience after meals), will the effect of hypertonicity causing hyperkalemia (maybe not so pronounced) still hold?
Szlag Trafił, GREAT critical thinking and questions!! We can tell you are really trying to fully understand and critically think as you are studying, awesome!! So think of it as a balancing act, with more glucose it will pull the potassium out of the cells, so if glucose isn't that high, not as much potassium will be pulled out. I hope that helps to clarify it for you. Thanks, friend! Have a fantastic day! :)
I love you thanks for that explanation, new follower!
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Hello im low potassium I'm 25 yrs old boy im from Philippines I'm high sugar also what I will do always urinating
Hey Loreta Bulacan! Our resources are to help nursing students through nursing school. We cannot give out any medical advice. Thank you for understanding. Hope you have a great day! 😊
@@NursingSOS GIVE OUT WHAT YOU HAVE LEARN ON THESE