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.
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? :-)
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.
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.
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.
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. :)
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
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?
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. 😁
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. 👍
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! 😊
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! 😊
So happy to hear this video was helpful for you, Maame pokuaa! 😊 We LOVE hearing how our resources helped you feel more confident in your knowledge! Hope you have a fantastic day, Maame pokuaa. 😀
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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 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. 😀
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!
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 😊
So happy to hear this video was helpful for you, High Sugar T2D Meal Plan! 😊 We LOVE hearing how our resources helped you feel more confident in your knowledge! Hope you have a fantastic day, High Sugar T2D Meal Plan. 😀
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!!!
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! :)
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! :)
So happy to hear this video was helpful for you, Sadia Tarar! 😊 We LOVE hearing how our resources helped you feel more confident in your knowledge! Hope you have a fantastic day, Sadia Tarar. 😀
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!
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
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?
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! 😊
So happy to hear this video was helpful for you, Cathy YOO! This video goes over hypokalemia more in depth and will be SUPER helpful for you! th-cam.com/video/XZcd3xm9ayI/w-d-xo.html You will do GREAT! Thank you for being here, your support means the world to us. 😊
Potassium has huge effects on the heart. Having too much or too little can cause fatal arrhythmias. With hypo you may see a flattening or T wave inversion. U waves are seen in more severe cases and even ST depression. In the most severe cases hypokalemia can lead to vtach. Potassium is the most important electrolyte regarding your heart it's the main conductor.
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! 😊
)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! 😊
Our resources are geared towards helping nursing students through their nursing school journey, we cannot provide medical advice! Glad the explanation helped you though! Thanks for being here, Pac Mac!
I am no nurse or medical student, but if someone has hypoglycemia, the first port of call would be to raise their blood sugar levels and to make sure it has been taken up by the cells before adding potassium. In healthy people the human body needs; 4700mg of Potassium 1000-1175mg Sodium 4000mg glucose (for a person weighing 70kg) We must also remember natural food sources and hospital synthetic chemicals can be processed in the body different, and a sick body is also different from a healthy one.
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!
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.)
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.!
Great question, Smith Square! Since insulin and potassium are inversely related and inslin causes potassium to shift into the cells, high levels of insulin may cause a big shift of potassium into the cells. I hope that helps clarify it for you. Thank you for being here. Have a fantastic day 😊
@@NursingSOS So that's a yes, I take it... I'm just wondering what the long term effects of sequestering potassium like this would be... I have a friend with hyperinsulinemia. I'm just researching for curiosity's sake
@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.
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.
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? :-)
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
Make sure to download your FREE Med Surg Study Checklist here: nursingsos.lpages.co/youtube-med-surg-study-checklist/ 👍
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.
Thanks for letting us know you loved this video, M. Hashi! Your support means the world to us. Thank you for being here😊
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.
Insulin and potassium for dummies. I really like your style.
AWESOME JOB !!!!
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!!!!!
So happy to hear this video was helpful for you, Alice Kim! You will do GREAT! Thank you for being here, your support means the world to us. 😊
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?
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. :)
GOD BLESS YOU, you sweet angel of all nursing students taking classes from home
Thanks for being here, Sam Schultz!
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! 💗
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. 😊
Thanks a very great explanation....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, 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?
I’m literally obsessed with you! This is amazing
Haha I'm so happy to help!
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. 😁
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!
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!
Such a very simple way to get this point across making this so much easier to understand!
Yay! We're so glad you loved this video! Thanks for being here, Diane Cramer! Your support means the world to us. :)
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! 😊
Awesome.you are an amazing teacher.I finally understand it and have been a RN for 1 year.Great job
Roberson Pelissier yay! We are so happy to hear that this video helped you understand better. 😊 You will do GREAT, friend!
Med student here, great explanation thank you!
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!
thank you sooooo much for making this content fun and easy to understand ❤🌟
Thanks so much. Helped me understand it clearly now.
Thanks for making this video! Precise and easy to understand :) May God bless you!
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Awesome 👍
Thank you for being here, @adamwaters8073! 😊
Hi, thank you for sharing this, it's exactly the direct answer I've been looking for
Yay, MOUNTAINYOU! We are so glad this video helped you! Thank you for your support, it means the world to us. 😊
I absolutely love this thank you so much❤
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!
very clear and simple, thank you so much.
Woohoo! You're so welcome, jessy kouessabio! We're so happy to hear that! :)
Thanks for this beautiful explanations!
So happy to hear this video was helpful for you, demola shittu! You will do GREAT! Thank you for being here, your support means the world to us. 😊
You are GOOD Girl, thank you!!
Virginia Hurley yay! We are so happy to hear that this video helped you understand better. 😊 You will do GREAT, friend! Thank you for being here!
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! 😊
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! :)
enjoyed your presentation very much! thank you.
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I love you. You're so cute and your explanation is very clear. Keep up the good work! ;)
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Thank you....nice explanation 🙏
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Great video. Thanks 😊
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Wow...u explained it so well dear..Thanks a lot!!!😍💐
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You are awesome 👏 God bless you more!!!
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Smart analogy using the word 'party'! That sure did draw my attention helping me understand better haha!
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Very simple, thank you
Woohoo! You're so welcome, SighsAtYou! We're so happy to hear that! :)
awesome lacture...i love to see u mam
Woohoo! Thanks for letting us know you loved the video, Tarsem Singh! We're so happy to hear that! :)
I love you for this. Thanks so much😀🙏🙏🙏
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thank you for the clear and interesting explanation.
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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! :)
One word for you : WOW💥♥️
Thank you so much and thanks for being here, Zeel Kodia!
omg your explanations are awesome!
So happy to hear this video was helpful for you, Macky Galvez! 😊 We LOVE hearing how our resources helped you feel more confident in your knowledge! Hope you have a fantastic day, Macky Galvez. 😀
Nice!!
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. 😊
New subscriber from Somalia
Thank you for being here, SOMALIA! 😊
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
Excellent analogies. Helps put things in perspective. Good job👍🏻👍🏻
Nick Ong yay! We are so happy to hear that this video helped you understand better. 😊 You will do GREAT, friend!
And we pay Professor to learn from TH-cam videos 🤦🏾♀️🤦🏾♀️🤦🏾♀️ This was soooo helpful, thank you!!
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Very helpful. Thank you
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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!
can you please upload more videos on Electrolyte imbalances. i like your videos. you make learning simple and easy to understand.
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I love you thanks for that explanation, new follower!
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Loved your 4 minute video! 💡💡💡
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thank you! super helpful
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Your explanation is superb. Way too easy to grasp it, loved ❤️ it indeed.
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U are incredible. THX
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Thanks for explanation
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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
Great stuff.
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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! :)
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! :)
Thanks from Warisha Pakistan
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So, if you have a DKA and there are thiazide diuretics in place...risk for hypokalemia increases...
Thank you for this 🫀
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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!
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
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!
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! 😊
You’re soooo helpful!!!!!
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Thank you for this video, Christine! I really loved this video! However, I would like to know why low potassium level is dangerous! 🧐🧐🤓🤓
So happy to hear this video was helpful for you, Cathy YOO! This video goes over hypokalemia more in depth and will be SUPER helpful for you! th-cam.com/video/XZcd3xm9ayI/w-d-xo.html You will do GREAT! Thank you for being here, your support means the world to us. 😊
Potassium has huge effects on the heart. Having too much or too little can cause fatal arrhythmias. With hypo you may see a flattening or T wave inversion. U waves are seen in more severe cases and even ST depression. In the most severe cases hypokalemia can lead to vtach.
Potassium is the most important electrolyte regarding your heart it's the main conductor.
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! 😊
)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! 😊
Small amount of potassium for a person with reactive hypoglycemia, good or bad idea from ur point of view? U explain v well by the way
Our resources are geared towards helping nursing students through their nursing school journey, we cannot provide medical advice! Glad the explanation helped you though! Thanks for being here, Pac Mac!
Potassium flushes the sodium which causes toxicity in most people because of its overuse
I am no nurse or medical student, but if someone has hypoglycemia, the first port of call would be to raise their blood sugar levels and to make sure it has been taken up by the cells before adding potassium.
In healthy people the human body needs;
4700mg of Potassium
1000-1175mg Sodium
4000mg glucose (for a person weighing 70kg)
We must also remember natural food sources and hospital synthetic chemicals can be processed in the body different, and a sick body is also different from a healthy one.
You make learning fun
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Thank you dear ❤
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Plain and simple discuss
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So helpful
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thank you
I will not forget that after this video
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DAMN! THANK YOU! YOU SAVED MY LIFE ❤
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!
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
This explained nothing behind the “why”
Nice explanation. I know potassium like parties and for sure also like to dance hard and only police insuline can stop it doing so
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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.)
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.!
Thanks
Thanks for being here, Sundara P!
so in the case of someone with obesity due to constantly elevated insulin levels, would they be low in potassium all the time?
Great question, Smith Square! Since insulin and potassium are inversely related and inslin causes potassium to shift into the cells, high levels of insulin may cause a big shift of potassium into the cells. I hope that helps clarify it for you. Thank you for being here. Have a fantastic day 😊
@@NursingSOS So that's a yes, I take it... I'm just wondering what the long term effects of sequestering potassium like this would be... I have a friend with hyperinsulinemia. I'm just researching for curiosity's sake
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.
Amazing
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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
Thank you!!
ABsolutely, Dimple Jha yay!😊 You will do GREAT, friend!