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Medicine General 938c2c13

A girl aged 8 years has been admitted for dialysis. She has serum K of 7.5 meq/1, which is the fastest way to reduce the hyperkalemia?

A
Kayexalate enema
B
Infusion of insulin + glucose
C
IV calcium gluconate
D
IV NaHCO3
High-Yield Explanation
Answer is B (Infusion of insulin and glucose): 'Intravenous insulin is the fastest way to lower serum potassium levels' Reduce serum levels by shifting Remove excess potassium from the body K+ from extracellular to intracellular fluid

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