The treatment for severe hyperkalemia often includes administering which of the following?

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The treatment for severe hyperkalemia commonly includes the administration of insulin with glucose. This approach is based on the mechanism by which insulin facilitates the movement of potassium from the extracellular space into the cells, thereby lowering serum potassium levels. When hyperkalemia is present, insulin helps to counteract the high potassium levels quickly, especially in acute situations. The administration of glucose is crucial during this intervention to prevent hypoglycemia, as insulin can dramatically lower blood sugar levels.

Calcium carbonate is not effective for the immediate treatment of hyperkalemia; its primary role is in maintaining bone health and addressing issues like osteoporosis or calcium deficiency. Beta-blockers can have an indirect effect on potassium levels, but they are not a first-line treatment for acute hyperkalemia. Antibiotics have no role in managing potassium levels and are unrelated to the treatment of hyperkalemia unless there is an underlying infection that needs to be addressed.

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