This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Fluids and Electrolyte Imbalance, Subject name: Medicine
[{'content': 'What is not recommended in management of hyperkalemia? \nSelect and explain. \nA. Albuterol, B. Loop diuretics, C. Peritoneal dialysis, D. 50% dextrose in water', 'role': 'user'}, {'content': 'Answer: D \nExplanation: 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.', 'role': 'assistant'}]