Potassium (K) in Urine

Urinary Potassium

Test Overview

A test for potassium in the urine is a 24-hour test or a one-time (spot) test that checks how much potassium is in the urine. Potassium is both an electrolyte and a mineral. It helps keep the water (the amount of fluid inside and outside the body's cells) and electrolyte balance of the body. Potassium is also important in how nerves and muscles work.

Potassium levels often change with sodium levels. When sodium levels go up, potassium levels go down, and when sodium levels go down, potassium levels go up. Potassium levels are also affected by a hormone called aldosterone, which is made by the adrenal glands.

Potassium levels can be affected by how the kidneys are working, the blood pH, the amount of potassium you eat, the hormone levels in your body, severe vomiting, and taking certain medicines, including potassium supplements. Certain cancer treatments that destroy cancer cells can also make potassium levels high.

Many foods are rich in potassium, including scallops, potatoes, figs, bananas, prune juice, orange juice, and squash. A balanced diet has enough potassium for the body's needs. However, potassium is passed in the urine even if the level in the body is low so the level of potassium can get lower.

A potassium level that is too high or too low can be serious. Abnormal potassium levels may cause symptoms such as muscle cramps or weakness, nausea, diarrhea, frequent urination, dehydration, low blood pressure, confusion, irritability, paralysis, and changes in heart rhythm.

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Author:	Jan Nissl, RN, BS	Last Updated November 17, 2006
Medical Review:	Martin Gabica, MD - Family Medicine Avery L. Seifert, MD - Urology
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