Figure 2. The carbon-carbon double bond found in monounsaturated or polyunsaturated fatty acids can exist in the cis or trans configuration. When the two hydrogen atoms are on opposite sides of the double bond, the configuration is called trans.
Hyperkalemia is a medical emergency, yet the administration of insulin, in most circumstances, can wait until a pharmacy prepares a stat dose. In general, pharmacy should also prepare all insulin infusions using a standard concentration (e.g., 1 unit/mL).
Hyperkalemia, defined as serum potassium >5.5 mEq/L, is. a life-threatening complication that can occur with renal in-. sufficiency, metabolic acidosis, muscle breakdown, stress, in-. creased administration of exogenous potassium through salt. substitutes, and hemolysis with blood transfusions.