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Medicine General c3a1ec4e

If a patient with several hyperglycemia is given IV insulin, which of the following can occur?

A
Hypokalemia
B
Hyperkalemia
C
Hyponatremia
D
Hypernatremia
High-Yield Explanation
Answer is A (Hypokalemia): Insulin causes IC to enter cells with a resultant lowering of extracellular IC+ concentration (Hypokalemia) Relation of Insulin to Potassium (Ganong 22nd/338) Insulin causes IC to enter cells with a resultant lowering of the extracellular K+ concentration (Hypokalemia) Infusion of insulin and glucose significantly lower the plasma IC level in normal individual (Hypokalemia) Infusion of insulin and glucose is very effective for the temporary relief of hyperkalemia The reason for intracellular migration of IC is still unceain. However increase the activity of Na+ - K+ ATPase in cell membranes so that more IC is pumped into cells.

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