This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Fluid & Electrolyte, Subject name: Medicine
[{'content': 'Best immediate management of hyperkalemia includes all except? \nSelect and explain. \nA. Calcium gluconate, B. Insulin drip, C. Salbutamol nebulization, D. MgSO4', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. D. MgSO4 * Calcium gluconate will antagonize the depressive effects of potassium on cardiac myocytes.* Insulin drip and salbutamol nebulization will reduce actual serum levels of potassium by sending potassium inside the cells* Magnesium sulfate has no role in management of hyperkalemia', 'role': 'assistant'}]