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 is an electrolyte imbalance and is indicated by a high level of potassium in the blood. The normal adult value for potassium is 3.5-5.3 mEq/L. Some medications that contain potassium, or medications that preserve the amount of potassium that is excreted through your kidneys, can cause hyperkalemia. 2  These may include Angiotensin Converting Enzyme (ACE) inhibitors, such as Lisinopril, or potassium-sparing diuretics, such as Spironolactone (e.g., Aldactone).