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Hyperkalemia is one of the most dangerous electrolyte abnormalities in medicine. When potassium rises significantly, cardiac conduction becomes unstable and life-threatening arrhythmias can occur. Management follows three key steps: stabilize the myocardium with intravenous calcium, shift potassium intracellularly using insulin with glucose or beta-agonists, and remove excess potassium through diuretics, potassium binders, or dialysis in severe cases. Rapid recognition and treatment are essentia
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