Potassium urine test
The potassium urine test measures the amount of potassium in the urine.
How the Test is Performed
After you provide a urine sample, it is tested in the lab. If needed, the health care provider may ask you to collect your urine at home over 24 hours. Your provider will tell you how to do this. Follow instructions exactly so that the results are accurate.
Collect your urine at home over 24 hour
The urine 24-hour volume test measures the amount of urine produced in a day. The amounts of creatinine, protein, and other chemicals released into ...
Read Article Now Book Mark ArticleHow to Prepare for the Test
Your provider may ask you to temporarily stop taking any medicines that may affect the test results. Tell your provider about all the medicines you take, including:
- Corticosteroids
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Potassium supplements
- Water pills (diuretics)
DO NOT stop taking any medicine before talking to your provider.
How the Test will Feel
This test involves only normal urination. There is no discomfort.
Why the Test is Performed
Your provider may order this test if you have signs of a condition that affects body fluids, such as dehydration, vomiting, or diarrhea.
It may also be done to diagnose or confirm disorders of the kidneys or adrenal glands.
Adrenal glands
The adrenal glands are two small triangle-shaped glands in the upper abdomen. One gland is located on top of each kidney.
Read Article Now Book Mark ArticleNormal Results
For adults, normal urine potassium values are generally 20 mEq/L in a random urine sample and 25 to 125 mEq per day in a 24 hour collection. Lower or higher urinary level may occur depending on the amount of potassium in your diet and the amount of potassium in your body.
The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results.
What Abnormal Results Mean
A higher than normal urine potassium level may be due to:
- Diabetic acidosis and other forms of metabolic acidosis
Diabetic acidosis
Diabetic ketoacidosis (DKA) is a life-threatening problem that affects people with diabetes. It occurs when the body starts breaking down fat at a r...
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- Kidney problems, such as damage to kidney cells called tubule cells (acute tubular necrosis)
Acute tubular necrosis
Acute tubular necrosis (ATN) is a kidney disorder involving damage to the tubule cells of the kidneys, which can lead to acute kidney failure. The t...
Read Article Now Book Mark Article - Low blood magnesium level (hypomagnesemia)
- Muscle damage (rhabdomyolysis)
Low urine potassium level may be due to:
- Certain medicines, including beta blockers, lithium, trimethoprim, potassium-sparing diuretics, angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or nonsteroidal anti-inflammatory drugs (NSAIDs)
- Adrenal glands releasing too little aldosterone (hypoaldosteronism)
Adrenal glands
The adrenal glands are two small triangle-shaped glands in the upper abdomen. One gland is located on top of each kidney.
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Risks
There are no risks with this test.
Reviewed By
Jacob Berman, MD, MPH, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Kamel KS, Halperin ML. Interpretation of electrolyte and acid-base parameters in blood and urine. In: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner and Rector's The Kidney. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 24.
Villeneuve P-M, Bagshaw SM. Assessment of urine biochemistry. In: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Critical Care Nephrology. 3rd ed. Philadelphia, PA: Elsevier; 2019:chap 55.