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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
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What is not recommended in management of hyperkalemia?
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The correct answer is  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.