Potassium, Vitamin K & Clotting

Potassium, Vitamin K & Clotting
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Potassium, a mineral and an electrolyte that conducts electrical impulses in the body, differs considerably from vitamin K, a fat-soluble vitamin important for blood clotting. Both play vital roles in the body, but they have no direct relationship to one another and are not, in any way, the same entity.

Source of Confusion

People often get confused about the relationship between vitamin K and potassium. The confusion most likely arises because potassium is designated as K on the periodic element table, and medical personnel often refer to potassium as "K," as in "His K level is low," which a nonmedical person might assume refers to his vitamin K levels, rather than his potassium levels. To increase confusion, medical personnel generally refer to abnormal potassium levels as hypokalemia, low levels, or hyperkalemia, high levels, a term that sounds nothing like potassium. Intravenous fluid bags containing potassium are labeled KCL.

Vitamin K Function

Vitamin K plays a significant role in blood clotting by activating enzymes essential for the coagulation cascade, which produces clots that stop excessive bleeding. Vitamin K comes from two sources, from the food you eat, called K1, and from production by the intestinal bacteria, called K2. Vitamin K can reverse excess bleeding in people who have taken too much warfarin, a blood thinner. Infants are often given vitamin K injections after delivery, since their vitamin K levels may be low until their gut becomes colonized with bacteria that synthesize vitamin K.

Potassium Function

Potassium levels in the blood remain within very narrow levels when the body functions normally. Potassium helps maintain the muscles' ability to contract, including the heart. Low levels of potassium can cause irregular heartbeat, weakness and stomach problems. High levels of potassium can cause similar symptoms. High doses of heparin, a blood thinner that decreases the blood's ability to clot, can cause hyperkalemia, or high potassium levels.

Diet and Clotting

Foods high in vitamin K, not potassium, can interfere with the action of blood thinners such as warfarin. People who take blood thinners should consume between 90 and 120 mcg per day of vitamin K in foods, keeping the amount stable from day to day and avoiding large fluctuations in intake that could affect their medication dose. Foods high in vitamin K include raw kale, which contains 547 mcg per cup; Swiss chard, which contains 299 mcg per cup; cooked broccoli, which contains 220 mcg per cup; leaf lettuce, with 62 mcg per cup and raw spinach, with 145 mcg per cup.

References

Article reviewed by Holland Hammond Last updated on: Dec 29, 2010

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