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).
Also, glucose or insulin may be given to help lower potassium levels. If hyperkalemia is a result of the kidneys not working properly, dialysis may be needed. Additional treatments may include changes in medication or changes in your diet. American Heart Association: Potassium and High Blood Pressure.