Hyperkalemia Flashcards
Definition of hyperkalemia
Too much potassium in the blood. Generally greater than 5.5 mEq/L
Extracellular space
Intravascular space (inside blood vessels and lymphatic vessels) Interstitial space (the space between cells)
Intracellular space
space inside the cells
98% of potassium
concentration of k inside cell
150 mEq/L
concentration of K outside the cell
4.5 mEq/L
What maintains the internal K balance
Na/K potassium pump 3 na out for 2 k in
What is the importance of the electrochemical gradient of the membrane
sets resting membrane potential that is needed for contraction of smooth, cardiac, and skeletal muscle.
What 3 ways/systems can we get rid of excess potassium?
kidneys
GI
Sweat
What is an external balance shift of potassium
When we cannot excrete k fast enough like through kidneys, gi, or sweat
What is an internal balance shift of k
when k moves out of cells into the blood or an issue when k can’t move into cells.
What can cause an internal balance shift of k
Insulin deficiency. This is because insulin increases activity of na/k pump. without insulin there’s no k going into the cells.
Metabolic Acidosis. Hydrogen gets moved out of the blood into the cells in exchange for potassium