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What is What is not recommended in management of hyperkalemia? and explain in detail?
Bolus D50W without insulin is never appropriate because of the risk of acutely worsening hyperkalemia due to the osmotic effect of hypeonic glucose. Intravenous bicarbonate has no role in the routine treatment of hyperkalemia. It should be reserved for patients with hyperkalemia and concomitant metabolic acidosis, and only if judged appropriate for management of the acidosis.