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 has many causes, including: 1  Kidney disease. 2  Too much acid in the blood, as is sometimes seen in diabetes. 3  Established cardiovascular disease. 4  Diet high in potassium (from bananas, oranges, tomatoes, high protein diets, salt substitutes, or potassium supplements). 5  Trauma, especially crush injuries or burns.