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Medicine Fluid and electrolytes 667b4c9e

A 9 year old girl was admited for dialysis. On laboratory examination her potassium levels were 7.8 mEq/L. Which of the following would quickly lower her increased potassium levels-

A
IV calcium gluconate
B
IV Glucose and insulin
C
Oral kayexalate in sorbitol
D
IV NaHCO3
High-Yield Explanation
Insulin lowers plasma K+ concentration by shifting K+ into cells. The recommended dose is 10 units of intravenous regular insulin followed immediately by 50 mL of 50% dextrose (D50W, 25 g of glucose total); the effect begins in 10-20 min, peaks at 30-60 min, and lasts for 4-6 h. (ref: harrisons. 19E pg 312)

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