Acute symptomatic hyperkalemia demands immediate myocardial stabilization with IV calcium gluconate as first-line therapy to antagonize cardiac membrane excitability, followed sequentially by potassium-shifting agents like insulin-glucose. This temporizing strategy prevents life-threatening arrhythmias while definitive removal therapies (dialysis, binders) are arranged, distinguishing it from slower-acting options like resins or diuretics. For scientific audiences, test your mastery of hyperkalemia management algorithms— for first-line acute therapy and share your ECG-guided rationale. (Scroll down to share your opinion!) ##Reference## Palmer BF, Clegg DJ.
Cleve Clin J Med. 2017## ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no warranties, explicit or implied, about the suitability,…
