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In this episode, Dr. George Willis dives into the critical management of refractory hyperkalemia, offering a comprehensive approach to stabilizing patients. He explains why repeated calcium doses are essential, the optimal use of insulin, and when to transition to infusions. Dr. Willis also highlights advanced techniques like combining diuretics into a "nephron bomb" and leveraging balanced solutions to enhance potassium elimination. This episode is packed with actionable insights that will elevate your care for critically ill patients. Don’t miss it!