K+ - the most abundant cation in the human body ♦ Reference values /S, P = 3.8 - 5.1 mmol/l (adults) t concentration = hyperkalemia I concentration = hypokalemia j luhu b üüy Kr 3,5-4 m oj JuĽíiieil pitüüiiiiiiiiiiily JX'; 3,S mol JU {^'úVu): U.U5 mu. EC (2%)" uliibľanta -b juíiijj'iíjiiiííil i» y íha íiíííjuji oj The c Na/K pi ü in Tiie eeU jueiDjjľžiiie, Na+/K+- ATPase Outside Inside Cardiotonic steroid binding sites Carbohydrates ATP-binding sites - ILÜI = 1 DU JiijnüJ = 3-4 p J *> I íiišiiíľy ±>DUľ^^ apricots, animal products, whole grains, legumes, pumpkins, watermelons, raisins, l/da líľiliíiľj bÄ^ľbťiDlit 4Ü - ^Ü mm L iiiľľšiiusil by niäü^í^ľDii^ f [KJr\ m ľbiiíi. 'f* iití ,-LUJ., i ^ 3"I0U-Ľ> SÄÍ^TIUU: úa y Regulation of kalemia renal handling (liíäus.ibruiib, l<~'r b im í b u i, liuw núb) Na/K-ATPase uľihb bbíi mbiiwnisitz acid-base status: acidosis: [H4"]/.? '\, íí+ sud v b in i o toils, v/hbľb ihbj i y. L . ~ L . L iiw m n u pnuspiiLTíí aimer im u iir Lire j-sibüsbü una <- Tbl IIlDVb Dili alkalosis .11 í D ££ll ij t plasma tonicity f U-r\^ K+ significance maintenance of resting cell membrane potenciál critical to cardiac and neuromuscular electrical activity maintenance of IC osmolality —> IC volume j i *> r-> L I sixzyiniťúz ľbiiťúuiiu ü'i 'pTü'ibü3yiiihb3i3.j growth^ iuiĺ í C mbiiibühz vrut (insulin, glucagon, El r^mmmo-ü Di norm du e ^e^rexiDU aldosterone, catecholamines) CAUSES OF HYPERKALEMIA CLINICAL SYMPTOMS OF HYPERKALEMIA include life-threatening complications! iX[ eilTDiiili^ II Jll-H i]f^pDilirizíľtlDii Di lliö £bh mjžlllb'ľilllbu Jr LQ r]ji£ ÍD iiiíi^íi7íiíiDii Di ihr düiiJilö-b —r ii/pörpüiiirizii'riüü ojiö i o iiiii^'iiTH'iiüü muscle weakness (respiratory muscles I; [X ]/ P iiiiiWWl) Ciiľáiuvi&ľiiliiľi b'ľiiáyiíľľhyihiiílu^ (\KJr\/jJ> 6,5 íjqíjídJ/J), asystoly ([!<+]/}> > rô mmul/l) Metu f mešite Di lüäiLlux, giussigDiL,