PHGY 210 Lecture Notes - Glutamine, Collecting Duct System, Extracellular Fluid

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Potassium (k) is the most abundant intracellular ion. The k concentration in the extracellular fluid is extremely important for the function of excitable tissues (nerve and muscle). Reason: the resting membrane potentials of these tissues are directly related to the relative intracellular and extracellular k concentrations. Hyperkalemia: high concentration of k in the extracellular fluid (>5 meq/l) Hypokalemia: low concentration of k in the extracellular fluid (<3. 5 meq/l) Both cause abnormal rhythms of the heart and abnormalities of skeletal muscle contraction. Hyperkalemia is usually the most often reason for consultation, usually from an emergency room. When it becomes sinusoidal, that"s when an electrical tachycardia occurs and you must administer a shock. Fruits and nuts contain a lot of potassium so when you"re on dialysis, they could kill you! Normally, the tubules reabsorb most of this filtered k so that very little of the filtered k appear in the urine.

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