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ELECTROLYTES
(Potassium)
Table of contents
1. Serum Potassium?
2. Clinical importance?
3. Regulation?
4. Significance?
5. Clinical aspects of K
6. Summary
Serum Potassium?
• K+ is the major INTRACELLULAR ION
• Normal Range; Serum K+ 3.5-5.0 mmol/L
• 75% contains in skeletal muscles.
• K+ usually taken up by all body’s cell by NA-K ATPase pump
Clinical importance:
• Potassium is a very significant body mineral, important to both
cellular and electrical function.
• It is one of the main blood minerals called "electrolytes" (the
others are sodium and chloride), which means it carries a tiny
electrical charge (potential).
• Potassium is the primary positive ion (cation) found within
the cells, where 98 percent of the 120 grams of potassium
contained in the body is found.
• Total potassium in the red blood cells contain 420 mg., which
is why a red-blood-cell level is a better indication of an
individual's potassium status than the commonly used serum
level.
POTASSIUM REGULATION
• External potassium balance is determined by rate of
potassium intake (80 meq/day).
• Rate of urinary (72 meq/day) and fecal excretion (8 meq/day).
• Internal potassium balance depends on distribution of
potassium between muscle, bone, liver, and RBC and the
extracellular fluid.
PotassiumTaken up by the cells
• Potassium ion transported into the cell by Na⁺/K⁺-ATPase.
• Any thing inhibits Na⁺/K⁺-ATPase lead to elevated ECF potassium or
any thing stimulate Na⁺/K⁺-ATPase leads to decrease ECF potassium.
Factors Regulatecellularuptake of
Potassium;
• Cellular uptake of potassium is regulated by;
• Insulin,
• Acid -base status,
• Aldosterone,
• Adrenergic activity
Significance of Potassium
 WATER BALANCE:
Along with sodium, Potassium regulates the water balance in the
blood and tissues.
 ACID-BASE BALANCE:
it regulates the acid-base balance in the blood and tissues.
 SODIUM-POTASSIUM EXCHANGE:
Potassium enters the cell more readily than does sodium and initiate and
boost up the sodium-potassium exchange across the cell
membranes.
 CONDUCTION OF NERVE IMPULSES:
In the nerve cells, this sodium-potassium flux generates the electrical
potential that aids the conduction of nerve impulses.
 Sodium-potassium pump created electrical potential gradient which helps
generate muscle contractions and regulates the heartbeat.
 MAINTENANCE OF STRUCTURE OF CELLS:
Most important functions is preventing the swelling of cells. If sodium is not
pumped out, water accumulates within the cell causing it to swell
and ultimately burst.
Significance of Potassium
• Potassium is very important in cellular biochemical reactions
and energy metabolism;
• it participates in the synthesis of protein from amino acids in
the cell.
• It also role in carbohydrate metabolism; it is active in glycogen
and glucose metabolism, converting glucose to glycogen that
can be stored in the liver for future energy.
• Potassium is important for normal growth and for building
muscle.
SOURCES OF POTASSIUM
• Potassium is found in a wide range of foods. Many fruits and
vegetables are high in potassium and low in sodium and help
PREVENT HYPERTENSION.
• Most of the potassium is lost when processing or canning
foods, while less is lost from frozen fruits or vegetables.
• Leafy green vegetables such as spinach, parsley, and lettuce,
as well as broccoli, peas, lima beans, tomatoes, and potatoes
all have significant levels of potassium.
• Fruits that contain this mineral include oranges and other
citrus fruits, bananas, apples, avocados, raisins, and apricots,
particularly dried. Whole grains, wheat germ, seeds, and nuts
are high-potassium foods. Fish such as salmon, sardines, and
cod are rich in potassium.
REFERENCES
https://www.medicinenet.com/electrolytes/article.htm#
sodium
https://www.medicalnewstoday.com/articles/153188.ph
p
https://www.researchgate.net/figure/K-transport-in-the-
proximal-tubule-Reprinted-from-Palmer-BF-Regulation-
of-potassium_fig1_322647872
https://accessmedicine.mhmedical.com/content.aspx?b
ookid=2173&sectionid=163663605
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC273011
9/
https://hkpp.org/patients/potassium-health

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Serum Electrolytes (potassium)

  • 2. Table of contents 1. Serum Potassium? 2. Clinical importance? 3. Regulation? 4. Significance? 5. Clinical aspects of K 6. Summary
  • 3. Serum Potassium? • K+ is the major INTRACELLULAR ION • Normal Range; Serum K+ 3.5-5.0 mmol/L • 75% contains in skeletal muscles. • K+ usually taken up by all body’s cell by NA-K ATPase pump
  • 4. Clinical importance: • Potassium is a very significant body mineral, important to both cellular and electrical function. • It is one of the main blood minerals called "electrolytes" (the others are sodium and chloride), which means it carries a tiny electrical charge (potential). • Potassium is the primary positive ion (cation) found within the cells, where 98 percent of the 120 grams of potassium contained in the body is found. • Total potassium in the red blood cells contain 420 mg., which is why a red-blood-cell level is a better indication of an individual's potassium status than the commonly used serum level.
  • 5. POTASSIUM REGULATION • External potassium balance is determined by rate of potassium intake (80 meq/day). • Rate of urinary (72 meq/day) and fecal excretion (8 meq/day). • Internal potassium balance depends on distribution of potassium between muscle, bone, liver, and RBC and the extracellular fluid.
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  • 7. PotassiumTaken up by the cells • Potassium ion transported into the cell by Na⁺/K⁺-ATPase. • Any thing inhibits Na⁺/K⁺-ATPase lead to elevated ECF potassium or any thing stimulate Na⁺/K⁺-ATPase leads to decrease ECF potassium.
  • 8. Factors Regulatecellularuptake of Potassium; • Cellular uptake of potassium is regulated by; • Insulin, • Acid -base status, • Aldosterone, • Adrenergic activity
  • 9. Significance of Potassium  WATER BALANCE: Along with sodium, Potassium regulates the water balance in the blood and tissues.  ACID-BASE BALANCE: it regulates the acid-base balance in the blood and tissues.  SODIUM-POTASSIUM EXCHANGE: Potassium enters the cell more readily than does sodium and initiate and boost up the sodium-potassium exchange across the cell membranes.  CONDUCTION OF NERVE IMPULSES: In the nerve cells, this sodium-potassium flux generates the electrical potential that aids the conduction of nerve impulses.  Sodium-potassium pump created electrical potential gradient which helps generate muscle contractions and regulates the heartbeat.  MAINTENANCE OF STRUCTURE OF CELLS: Most important functions is preventing the swelling of cells. If sodium is not pumped out, water accumulates within the cell causing it to swell and ultimately burst.
  • 10. Significance of Potassium • Potassium is very important in cellular biochemical reactions and energy metabolism; • it participates in the synthesis of protein from amino acids in the cell. • It also role in carbohydrate metabolism; it is active in glycogen and glucose metabolism, converting glucose to glycogen that can be stored in the liver for future energy. • Potassium is important for normal growth and for building muscle.
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  • 18. SOURCES OF POTASSIUM • Potassium is found in a wide range of foods. Many fruits and vegetables are high in potassium and low in sodium and help PREVENT HYPERTENSION. • Most of the potassium is lost when processing or canning foods, while less is lost from frozen fruits or vegetables. • Leafy green vegetables such as spinach, parsley, and lettuce, as well as broccoli, peas, lima beans, tomatoes, and potatoes all have significant levels of potassium. • Fruits that contain this mineral include oranges and other citrus fruits, bananas, apples, avocados, raisins, and apricots, particularly dried. Whole grains, wheat germ, seeds, and nuts are high-potassium foods. Fish such as salmon, sardines, and cod are rich in potassium.