High potassium

[Manchestermum]

Recently I got a blood test done the potassium is 5.6 the kidney function was fine the vit d was little low see below so worried

Values and Investigations (Latest Value)26-Apr-2021 HbA1c levl - IFCC standardised - (dhb) - Normal37 mmol/mol 26.00 - 41.00mmol/mol.less than 58 mmol/mol control GOOD58 - 74 mmol/mol control MODERATE75 mmol/mol or higher control POORthe lower the HbA1c, the lower the risk of diabetes complications.In undiagnosed patients a HbA1c result >41mmol/ml shouldbe considered as high risk of having diabetes inaccordance with WHO guidance.26-Apr-2021 Erythrocyte sedimentation rate - (dhb) - Normal7 mm/h 0.00 - 27.00mm/h26-Apr-2021 Full blood count - FBC - (dhb) - NormalHaemoglobin estimation 141 g/L 115.00 - 165.00g/LRed blood cell (RBC) count 4.54 10*12/L 3.80 - 5.8010*12/LHaematocrit 0.42 L/L 0.37 - 0.47L/LMean corpuscular volume (MCV) 93.3 fL 84.00 - 105.00fLMean corpusc. haemoglobin(MCH) 31.1 pg 27.00 - 32.00pgMean corpusc. Hb. conc. (MCHC) 333 g/L 305.00 - 350.00g/LRed blood cell distribut width 14 11.50 - 14.50Total white cell count 9.7 10*9/L 4.00 - 11.0010*9/LNeutrophil count 6.5 10*9/L 1.80 - 7.5010*9/LLymphocyte count 2.2 10*9/L 1.00 - 4.0010*9/LMonocyte count 0.4 10*9/L 0.20 - 0.8010*9/LEosinophil count 0.4 10*9/L 0.00 - 0.4010*9/LBasophil count 0 10*9/L 0.00 - 0.1010*9/LPlatelet count 243 10*9/L 150.00 - 450.0010*9/L26-Apr-2021 ! Serum total 25-OH vit D level - (dhb) - Normal for patient43.7 nmol/L 50.00 - 125.00nmol/LSerum 25OHD of 30-50 nmol/L may be inadequate in some peopleFor guidance on treatment see:nos.org.uk/document.doc?id=... Serum vitamin B12 - (dhb) - Normal 408 ng/L 211.00 - 911.00ng/L26-Apr-2021 Plasma urate level - (dhb) - Normal 357 umol/L 140.00 - 360.00umol/LNormal urate levels do not exclude goutIf on treatment for chr.gout,target urate <300 (Br Soc Rheum 2007)26-Apr-2021 Serum TSH level - (dhb) - Normal 1.6 mu/L 0.35 - 5.50mu/LThyroid function test results indicate normal thyroid status26-Apr-2021 Bone pro@le - (dhb) - NormalSerum adjusted calcium conc 2.37 mmol/L 2.20 - 2.60mmol/LSerum calcium 2.35 mmol/LSerum inorganic phosphate 0.93 mmol/L 0.80 - 1.50mmol/LSerum total bilirubin level 9 umol/L 0.00 - 20.00umol/LSerum ALT level 26 u/L 7.00 - 40.00u/LSerum alkaline phosphatase 60 u/L 30.00 - 130.00u/LSerum total protein 69 g/L 58.00 - 75.00g/Urea and electrolytes - (dhb) - Other action - see Practice NoteseGFR is an estimate of renal function and is not valid in allpatient groups (see renal.org/egfr)Serum urea level 5.4 mmol/L 2.50 - 7.80mmol/LSerum creatinine 67 umol/L 44.00 - 97.00umol/LSerum sodium 138 mmol/L 133.00 - 146.00mmol/L! Serum potassium 5.6 mmol/L 3.50 - 5.30mmol/L! GFR calculated abbreviatd MDRD 87 mL/min/1.73m2 >90.00mL/min/1.73m2AKI warning stage

[helixhelix]

Is this what you are worried about?

Serum potassium 5.6 mmol/L 3.50 - 5.30mmol

If so, don’t be! There is a degree of tolerance and your doctors are unlikely to be at all bothered until you have more than one test that is more than 10% over or under normal levels. It could just be that you were a bit dehydrated that day.

As for the Vit D, make sure you eat some oily fish every week and/eggs, roll your sleeves up outside and if need be buy an OTC supplement.

[Manchestermum in reply to helixhelix]

Thank you for your reply yes the 5.6 potassium reading he says he wants me to go back for a retest that’s due on 10th hoping it’s just a lab error and thank you for the advice it’s much appreciated xx😍

[Manchestermum in reply to helixhelix]

To be honest as well my test was at like 9.30am only had a cup of tea bfore test no other drink did notice nurse ask me to clench few times to make get vain and didn’t wipe area bfore taking blood nor did she use the toricaine think I spelt it wrong haha she did ask if I had drank much as my veins looked rubbish

[helixhelix in reply to Manchestermum]

Well make sure you drink plenty of water the night before and the day of the test and all will probably me just fine.

[Wobbies in reply to Manchestermum]

Clenching your fist can lead to an inaccurate test as I have found to my cost in the past, particularly with high potassium levels. Now I avoid that phlebotomist and go elsewhere. Was told in A & E that dehydration does not affect potassium levels. Hope that helps.

[Manchestermum in reply to Wobbies]

Thanks

[Manchestermum in reply to Manchestermum]

I just read on line about fist clenching that it’s not suppose to happen any more that thay should not ask for patient to do it as can raise levels there again the area wasn’t cleaned bfore test either then she shook the bottle

[Legley]

Hi ManchestermumI too have occasional high potassium level but my doctor says that as lm on diruetics (water tablets) that they can cause high level. Are you on water tablets ?

[Manchestermum in reply to Legley]

No only meds am on is naxproxen

[Manchestermum]

Hi guys just quick updat just got my secand blood test back for my potassium first test 5.6 it’s now been repeated and it’s 4.7 I will upload test results x

[Manchestermum]

5 mmol/L Serum urea level61 umol/L Serum creatinine

134 mmol/L Serum sodium

4.7 mmol/L Serum potassium

90 mL/min/1.73m2 GFR calculated abbreviatd MDRD 0 AKI warning stage

10 May