What You Need to Know About Hyperkalemia

Staff Writer |Jul 18, 2023

What is Hyperkalemia?

Hyperkalemia is the medical term for when you experience high potassium levels in your blood.

In terms of numbers, a healthy individual will have between 3.6mmol/L and 5.2mmol/L in their body. Anything higher than that is officially classified as hyperkalemia.

  • Between 5.3mmol/L and 6.0mmol/L is mild hyperkalemia.
  • Between 6.1mmol/L and 7.0 mmol/L is moderate hyperkalemia.
  • Above 7mmol/L is severe hyperkalemia.

Why is Too Much Potassium Harmful?

Potassium is healthy for you in the right doses. Your body needs it to function properly. It is an incredibly important substance that plays a vital role in your nerves and muscle cells. This means that you need it for your heart to work.

Like with anything else, too much of a good thing is not good. The more common form of hyperkalemia only rears mild to moderate symptoms. The most extreme severities of this condition can result in death.

Symptoms of Hyperkalemia

Generally, until your hyperkalemia is severe, you may not even experience or recognize any of the symptoms. As your levels soar to dangerous heights, you may experience one or more of the following symptoms:

  • Muscle weakness or pain. Your muscles may feel tender or even painful. It may feel as though you just finished an intense workout.
  • Fatigue. Despite getting adequate sleep, you may feel sluggish and tired the entire day or you may be too weak to function.
  • Nausea. An upset stomach may or may not be accompanied by some vomiting. This is a common sign of hyperkalemia.
  • Breathing problems. You may find it difficult to take deep breaths or find yourself forced to gasp for air.
  • Irregular heartbeat. Your heart may beat funnily or feel weird in your chest. This is always a symptom to bring up to your doctor immediately.
  • Chest pains. Chest pains ranging from mild to severe are a common result of hyperkalemia. In the most extreme cases, hyperkalemia left untreated can cause cardiac arrest and death.

What Causes Hyperkalemia?

There are several known causes of hyperkalemia, which range from medical disorders to lifestyle habits. Hyperkalemia is known to have many causes. These include:

Kidney Disease

The main function of a kidney is that it filters everything in your body. When there is something wrong with your kidneys, it can mess up all sorts of vitamin levels in your body. Potassium is just one of them.

Heart Disease

Heart disease results in a variety of factors that make it more likely to have problems with your potassium levels.

Hormone Imbalances

Having abnormally low amounts of aldosterone can result in potassium problems. This can happen due to a variety of conditions, including hypoaldosteronism and congenital adrenal hyperplasia.

Diabetes

A lack of insulin may be the culprit behind enhanced potassium levels. This is something that would be more likely to occur if diabetes is undermanaged (or undiagnosed).

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Medications

Side effects of certain medications could cause potassium levels to rise. You may be surprised to see that some common medications will do this. Non-steroidal, anti-inflammatory drugs, such as ibuprofen and naproxen, will do it. Some of the other medications that can do this are heparin, mannitol, beta-blockers, angiotensin inhibitors, calcium blockers, and cyclosporine.

Diet

Medications are not the only way to introduce potassium to the body. There are lots of foods that can lead to heightened potassium levels. Many of these foods are healthy, but to a person at risk for hyperkalemia, they can be dangerous if not eaten in responsible quantities.

There is also the chance that you are a victim of pseudo hyperkalemia. As the name suggests, you do not have any potassium problems. Sometimes due to faulty equipment, you will get a wrong reading.

Hyperkalemia Treatment

To determine how to treat hyperkalemia, it is important that you first identify the cause of it in yourself. Getting advice from a licensed medical physician is the best way to determine your treatments.

Diet Change

Changing your diet can do wonders for your health. If you battle hyperkalemia, consider limiting your intake of foods rich in potassium like cucumbers, pumpkins, potatoes, bananas, grapefruit, oranges, eggplants and peas.

Intravenous Calcium or Insulin and Glucose

Medical injections are an efficient and fast technique to lower calcium levels. When diet alone is not enough, these can drop your potassium levels to a safer place in a pinch.

Albuterol

Doctors may also administer albuterol alone or in addition to other treatments. Unfortunately, this does not work for everyone.

Changing Medications

If a certain medication is causing dangerous, unwanted side effects, you may want to talk to your doctor about switching.

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